Inspection on 03/04/07 for Ferndale Residential Care Home

This inspection was carried out on 3rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 25/10/05

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 Residential Care Home 8 Stein Road Southbourne Emsworth Hampshire PO10 8LD Lead Inspector Mrs A Peace Unannounced Inspection 3rd April 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 Residential Care Home DS0000037606.V332220.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 Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferndale Residential Care Home Address 8 Stein Road Southbourne Emsworth Hampshire PO10 8LD 01243 371841 01243 377363 kathy.greenfield@btopenworld.com 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) Sussex Training Services Limited Mrs Kathy Maureen Greenfield Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17) of places Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: Ferndale is a privately owned care home providing personal care to 17 older people with dementia. Ferndale is a detached three-storey Victorian establishment in Southbourne, Emsworth, near Chichester and is situated approximately two miles from the centre of Emsworth with all its amenities and a mile from the sea front. Accommodation is provided in 17 single rooms, four of which have en-suite facilities. They rooms are arranged on two floors with a lift giving access to all rooms. A sitting area in the hall, a lounge and a 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. Fees range from £375 to £560 per week. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 3rd April 2007. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records and information held on file were reviewed. The Registered manager Mrs Greenfield was present for the inspection. Mrs Greenfield had completed a pre inspection questionnaire and sent it back to the Commission in good time for the inspection. During the inspection the Inspector toured the building, visited the majority of rooms, and joined the residents in the lounges/dining areas. A case tracking exercise was undertaken for a number of residents. The tracking exercise looked at records and tracked the records to the care given for individual needs identified and any equipment supplied. The records were clear and well maintained. Staff recruitment and training records were also examined and found to be well maintained and confirmed that staff are receiving the training they need to care for older people with Dementia. Through observation and by speaking to staff, some residents and visitors the Inspector formed the opinion that staff give an excellent standard of care, and communication between staff and management is good. This was also confirmed by examining the quality assurance surveys completed by relatives, staff and visiting health professionals. Some of the comments were; Staff always friendly and professional”. “Residents treated extremely well, one of the best homes I visit”. “I am always treated with courtesy and respect”. “Ferndale is a very homely and well run home the staff are friendly and willing to help, the standard of care is excellent”. “Ferndale care home is running very smoothly for the benefit of the residents”. “ Ferndale is lucky to have someone like Kathy (the registered manager) working for them she is very good with the residents and she also has wonderful staff”. The inspector concluded that Ferndale provides excellent care from a caring and committed staff team. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has an ongoing programme of refurbishment and maintenance so is continually being improved and updated. Staff training is continually being reviewed to ensure staff are able to look after residents who are admitted. Two bathrooms are presently being refurbished to meet the changing needs of residents. A room at the home is presently being refurbished and will be able to used as family room in the future which will benefit residents and their visitors. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 7 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 Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6,Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about the home. All residents have their needs assessed before being admitted to the home to ensure the home can meet their needs. Intermediate care is not provided at the home. EVIDENCE: Large print versions of the Statement of Purpose and Service Users Guide are available for all the residents and representatives. Visitors spoken with said they were kept well informed of anything going on in the home. One resident said he had been given information about the home before coming in so he could make a decision. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 10 A Quality Assurance survey recently undertaken by the home said everyone was satisfied with information given. Mrs Greenfield’s policy is to only take one new resident in at a time so that they can settle and staff can concentrate on getting to know them, this is very good practice. A number of resident’s records were examined and tracked from records to care and equipment provided to ensure needs were being met. They were maintained to a good standard, identified risks and gave clear instructions for staff to know how to care for residents. Pre assessments records were in place to show that the home was able to meet needs of people admitted and assessments and risk assessments are regularly updated. Past social assessments could be expanded on in some cases but Mrs Greenfield said that it is sometimes difficult to get relevant information from relatives. The home enough equipment to meet needs at present and is refurbishing some bathrooms to make them easier for the residents to use. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents had up to date care plans and risk assessments and care staff look after residents to an excellent standard. Policies and procedures are in place for medication administration and staff are well trained and noted to adhere to safe practice. Staff work hard to make the home safe, comfortable and a nice place to live for the residents. Respect, privacy and dignity are high in the agenda in the home and the staff were noted to adhere to this philosophy. Ay time of death residents and their families and friends are well cared for and supported by a caring staff team. EVIDENCE: Five sets of resident’s records were examined. All residents had Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 12 up to date care plans which are regularly reviewed. Comprehensive care plans show in detail the action which needs to be taken by care staff to ensure all aspects of the health, personal and social care needs of the residents are met. Medication reviews are carried out on a regular basis and visits by health professionals visiting the home are recorded with any action needed. One nurse visiting the home during the inspection said “staff are always helpful and friendly, residents always looked well cared for and staff followed any instructions left”. Daily records are kept with day and night entries and shows that care is being provided as detailed in the care plan. Staff have been trained to be able to look after older people with Dementia and other conditions related to ageing. Weights are recorded monthly and basic nutritional screening is carried out, however this could be expanded by using a recognised risk assessment tool. It was noted that one resident had started to lose weight and the staff had taken the appropriate action to ensure that the resident’s risks were minimized. Medication records and stock were examined and were in order, the inspector asked one of the care staff responsible for administering medication about the procedure and why the residents were on particular drugs, the carer was able to tell the inspector what was wrong with residents and what the medication was for. The Inspector was told that it is a policy of the home to always send a carer with residents if they have to go to hospital for any reason and the carer will stay with them until a relative or representative arrive. Staff were noted to be friendly but respectful with residents and visitors. One resident who is being nursed in bed looked very comfortable and well cared for, staff were noted to go into her room and speak to her at regular intervals to check she was alright. The manager Mrs Greenfield and all of the staff spoken to knew about all of the residents and what were their individual needs. They were seen to encourage residents to make decisions as far as possible. Staff do try to keep residents at the home for their lifetime if possible with the help of community nurses. When talking to the manager, staff and visitors the inspector concluded that care, comfort privacy and dignity would be given to residents who are dying and their relatives. A recent survey has been undertaken at the home and some comments from visiting Health professionals were: “No concerns, access to residents readily available, always given privacy and staff always friendly and professional”. “Residents treated extremely well, one of the best homes I visit”. “I am always treated with courtesy and respect”. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 13 “Ferndale is a very homely and well run home the staff are friendly and willing to help, the standard of care is excellent”. “Ferndale care home is running very smoothly for the benefit of the residents”. Comments from relatives included: “More than satisfied with the care and attention”. “We are very pleased with the love and care shown”. “Myself and my family think the care and attention my father receives the staff are always happy to see you and could not wish for better surroundings for Dad”. “We have every confidence in Kathy (the registered manager) and her team which makes Ferndale a friendly home from home residence”. “The staff are caring at all times”. “I am grateful for the care that my mother receives staff are all very patient and kind”. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living are flexible within care needs. Residents are entertained and stimulated through the activities programme. Visitors are welcomed into the home. Residents are encouraged to make decisions about their welfare and are entitled to bring personal possessions into the home. Residents are served high quality, varied, appealing, wholesome food. EVIDENCE: Varied activities are provided either by staff in house, or people that come into the home on a regular basis. None of the quality assurance surveys said that there were any concerns regarding activities and some were complimentary about the stimulation residents get. Activities offered at the home include: exercise, music therapy, craft, gardening, bowls, memory recall games. Residents are also taken out to the shops, garden centres, church, public house and walks. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 15 Two ladies go regularly to church on a Sunday and Church of England and Roman Catholic priests visit the home. There is a safe pretty garden to the rear of the home with raised flower beds that residents can potter about in. The rest of the garden is laid with patio and garden furniture. There is a notice board in the foyer displaying staff on duty and any activities planned. On the day of the inspection three residents and three visitors were able to say they were happy with the activities provided. Staff were noted to offer and encourage residents to make choices throughout the day. A copy of the menus were sent to the commission before the inspection and these showed that good, home cooked, varied meals are served to residents. Although an alternative to the main meal was not recorded on the menus, due the home being quite small and homely, staff know what residents like or do not like and records are kept in the kitchen, so alternative individual meals are always prepared, this was confirmed by residents and visitors. Visitors are welcomed into the home and were noted to be offered hot drinks and biscuits; they confirmed this was usual practice when they visited the home. The main meal of the day was chicken in sauce, potatoes, carrots and cabbage followed by bananas and ice cream. The inspector sampled the meal and found it very tasty. Residents were seen to enjoy their meals under the observation of staff and residents who had difficulty with eating were helped patiently and individually by staff. Liquefied meals are presented in an appealing manner and where specialist nutritional needs have been identified supplements are given as prescribed. The providers are in the process of refurbishing a room at the home into a family lounge where residents and their visitors will be able to have time together and have meals together in private. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. There is a clear accessible complaints procedure which indicates that complaints would be taken seriously and investigated. Staff are trained to ensure residents are safeguarded against abuse. EVIDENCE: No complaints have been received by The Commission. The complaints procedure is in the Statement of Purpose, and on display in the home. Quality assurance surveys indicated that people knew who to complain to and visitors on the day confirmed this. Training is provided for all staff in safeguarding adults, when the Inspector asked staff about recognising abuse and the procedure, they responded directly and were clear about the correct way of reporting. The home’s policy for safeguarding adults could be misleading about who initially investigates. This should be amended to highlight that Social Services Department are the first point of contact if abuse is suspected and the home should not start investigating themselves. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 17 Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 18 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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, homely and well-maintained environment and have access to safe indoor and outdoor communal activities. Residents have sufficient toilets and washing facilities and have specialist equipment to meet their needs. Residents live in safe comfortable bedrooms with their own possessions around them. The home is clean and pleasant. EVIDENCE: The location and layout of the home meets its stated purpose, there is a car park to the front of the home and well-maintained accessible gardens to the rear of the home. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 19 All areas of the home were clean and tidy and there were no unpleasant smells. The décor throughout is homely although some areas will need painting in the near future. Mrs Greenfield told the Inspector that this was already planned. Resident’s rooms were visited and all had some personal possessions around them to make their room more homely, some residents had bought in small pieces of furniture with them. Residents are encouraged to wander at will around the home and staff were noted to keep an eye on them without being obtrusive. Some residents like to keep their doors open and because the use of wedges would be a fire safety hazard Mrs Greenfield told the Inspector that automatic closures had been ordered and those residents who liked their doors open would be given them first. There is a large lounge on the ground floor and a pleasant conservatory/dining room off the lounge. Furnishings in communal rooms are of good quality and domestic in character. Following staff concerns which were identified on a staff survey about the conservatory being too hot in the summer two air conditioning units have been purchased. There are sufficient toilet and bathing facilities to meet the need of the residents, however due to the rising dependency of residents two bathrooms are presently being refurbished to make them more accessible and safe for residents and staff. Large picture signs are on the toilets and bathrooms so residents can recognise them. An occupational therapist has carried out an assessment of the premises and reported that it was a well-run friendly home where the needs of the residents are paramount. There is a passenger lift that gives access to all rooms on the first floor. Call bells are in all rooms but cords have been removed where risk assessments identified residents at risk. The heating and lighting and ventilation meet relevant environmental health and safety requirements and the needs of the residents. However no records could be found to evidence that the homes water supply had been checked for Legionella, although thermostatic valves do control the temperature of the water in the home and records available to say these had been regularly tested. A recommendation will be made that the providers contact the relevant agencies to take advice about testing the water and having a Legionella risk assessment. There is alcohol gel at various points around the home for hand cleansing to minimise the spread of infection however there were no paper hand towels in one of the toilets, the inspector was told that the cloth towel had been taken for washing and not returned. Mrs Greenfield was reminded that communal Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 20 cloth hand towels could be a potential risk for the spread of infection and to review this practice. The small kitchen was clean and tidy the Inspector noted two minor areas where things could be improved and this was discussed with Mrs Greenfield at the conclusion of the inspection. The laundry was clean tidy and machines looked clean and well maintained. The rear garden has been designed 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 garden furniture. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the numbers and skill mix of staff. Staff are trained to look after residents and keep them safe and the recruitment process is robust and protects residents. There is a staff training and development programme in place to ensure staff are competent to do their jobs. EVIDENCE: Staff duty rotas were available and the numbers and skill mix over a 24-hour period meets the needs of residents, there are always two waking members of staff on duty at night. Because of the well-established staff team working at the home staff do try to work any extra shifts when necessary rather that bring agency staff in. If a resident has to go to hospital, a member of staff always goes with them and stays until a relative or representative arrives. The Inspector got the impression that staff really do care about the residents in their care. There is a 24-hour manager on call system if staff should need advice. The home employs adequate ancillary staff to support care staff. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 22 The home has over 50 of care staff that have achieved National Vocational Qualification (NVQ) level 2. Training records are well kept and evidenced that staff are well trained to look after the residents. Training records included dementia, health and safety, infection control, medication, fire safety, POVA, food hygiene, first aid and nutrition. Recruitment records seen could evidence that a robust recruitment process is in place in the home which protects residents. There were photographs of staff are on the wall in the foyer of the home for residents and visitors to see. Staff meetings are held on a regular basis and the inspector did evidence throughout the day that communication is good between staff. All staff on duty were spoken to and all said they were well supported by the manager, from speaking to them the inspector concluded that they were a very caring team who had the welfare of the residents at heart. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,26,37,38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Mrs Greenfield, the home’s Registered manager is highly competent to run the home to the benefit of residents and staff. Mrs Greenfield was able to demonstrate that she and the staff are trained to a high standard in caring for older people and that through the home’s policies and procedures they are committed to ensuring the health welfare and safety of residents. Resident’s benefit from the open leadership and management approach in the home and the home is run in the best interest of the residents. A staff supervision and appraisal system in operation and all of the home’s records are well maintained. EVIDENCE: Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 24 Mrs Greenfield the Registered Manager is a qualified NVQ assessor and has a counselling qualification. Mrs Greenfield has also obtained the National Vocational level 4 and completed the Registered Managers Award. Evidence from the surveys for residents, relatives, visitors and staff showed clearly that Mrs Greenfield is very highly thought of and provides continual support throughout the home. It is clear that the residents and staff benefit from her leadership style and through this staff are supported to provide a very good standard of care for residents and their relatives. One of the surveys said, “ Ferndale is lucky to have someone like Kathy working for them she is very good with the residents and she also has wonderful staff”. Mrs Greenfield was able to show the Inspector that she undertakes relevant training both to update herself and to ensure staff get the appropriate training to meet residents needs and their own development needs. There is an appraisal and supervision in operation on the home and records were available. There are clear lines of accountability in the home and staff and visitors are aware of this. There is a quality assurance system in operation and a recent survey has been undertaken the results have not been collated yet but results from a previous survey were available with any action that needed to be taken recorded. From looking at the surveys it could be seen that other professionals were complimentary about Mrs Greenfield and the home. Comments from the surveys are recorded earlier in the report. Mrs Greenfield and the staff were seen to be caring and positive throughout the day and the relatives visiting could not praise them highly enough. The home does not look after any money on behalf of the residents. Mrs Greenfield said that if high dependency residents needed anything then the home would buy and bill the relatives. The home’s records are in good order and are well maintained. The health, welfare and safety of the residents and staff are looked after by the homes policies, procedures and practices. Risk assessments are carried out and a fire safety risk assessment has recently been completed. Regulation 26 visits are carried out by the providers, the Commission has received some and others were in the home, however they were not all available. A recommendation has been made that copies of the records of monthly visits are kept at the home. Insurance cover is in place to ensure the home is able to meet any loss or legal liabilities Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 25 Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 26 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 4 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 3 3 3 3 Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 27 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. 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 3 Refer to Standard OP25 OP26 OP32 Good Practice Recommendations Records should be available to evidence that the home’s water supply is tested to ensure residents are not at risk from Legionella. The use of cloth hand towels should be discontinued to minimise the risk of spread of infection. All Regulation 26 reports should be available in the home. Ferndale Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Residential Care Home DS0000037606.V332220.R01.S.doc Version 5.2 Page 29 - 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. 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