Inspection on 09/10/08 for Ferney Lee

This inspection was carried out on 9th October 2008.

CSCI found this care home to be providing an Excellent service.

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

Ferney Lee 13/11/06

Ferney Lee 04/01/06

Ferney Lee 10/05/05

Ferney Lee 19/01/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ferney Lee Ferney Lee Road Todmorden Lancs OL14 5JW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 0 9 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Ferney Lee Ferney Lee Road Todmorden Lancs OL14 5JW 01706815507 01706816025 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ruth Elizabeth Shore Type of registration: Number of places registered: Calderdale MBC care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Maximum number of permanent and short stay places - 23. Five of the registered beds to be utilised for intermediate care only. Up to 5 service users between the ages of 50 to 65 years of age for immediate care beds only. Date of last inspection Brief description of the care home Ferney Lee is a care home offering personal care and single room accommodation for up to 28 older people. Ferney Lee offers a permanent home as well as respite, transitional and intermediate care for the people of Calderdale. The home is owned and managed by Calderdale Metropolitan Borough Council. The communal rooms are attractively decorated, well furnished, light and spacious. The bedrooms are also well decorated and furnished. The home stands in its own grounds and has ample car parking. The home is set just outside Todmorden town centre within reasonable walking distance of the main road and bus routes. Care Homes for Older People Page 4 of 26 Over 65 28 0 Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The weekly charges at Ferney Lee are calculated according to individual circumstances. The maximum charge is 626.78 per week. additional charges are made for hairdressing, chiropody and newspapers. The last key inspection took place on 13 November 2006. Since then we have completed an annual service review that told us, at that time, the home was still providing a good service. This inspection was carried out to assess the quality of care provided to people living at the home. Care Homes for Older People Page 6 of 26 The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted 6 hours. During the visit we spoke to 10 people living in the home, 6 members of staff, the manager and 1 relative. We also observed staff delivering care, looked at various records and looked around the home. The home completed a self assessment form which provided us with detailed information about the service. We have used some of that information in this report. Comment cards were sent to 10 people living in the home, 10 members of staff and 5 health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Seven people living in the home wrote to us with their comments. Their comments have been used in this report. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 8 of 26 The home is providing an excellent service and the manager has clear plans for developing it further. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given information about the home and are properly assessed before they move in. This means that they can be sure the home can meet their needs. Evidence: People told us that they had enough information about the home before they moved in. This helped them or their relatives decide if it was the right place for them to live. Written information about the home, the service user guide, is readily available together with our inspection reports. Some people said that they has stayed at the home before for one or two weeks respite care and when they needed to move into a care home they choose Ferney Lee, because they knew it could meet their needs. Staff make sure that anyone thinking of moving into the home is properly assessed. This makes sure that they know what peoples care and support needs are. By doing this they make sure that staff have the skills and experience to meet peoples needs Care Homes for Older People Page 11 of 26 Evidence: before they offer them a place. Part of the home is the dedicated intermediate care unit, which provides short term, intensive rehabilitation to people who will be returning home. This unit has its own facilities, equipment and staff. The care staff working on this unit have received additional training to make sure they have the necessary skills to enable people to regain their independence. There are also a team of physiotherapists, occupational therapists and nurses who are all involved in supporting people using this service. We spoke to one person who was using the intermediate care service. He told us that the staff were excellent and that he was looking forward to returning home. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are fully met. The principles of respect, dignity and privacy are put into practice. Evidence: The care plans we looked at clearly showed the personal and health care needs of each person and what action staff needed to take to meet those needs. People living in the home are fully involved in planning their care and support and in the monthly reviews. This means that people get the care and support they want. We could see from the care plans that people are seen by doctors, nurses, opticians, chiropodists and other health care professional as necessary. Details of these visits and any treatment or advice given is properly recorded. This means that staff know if there is anything they need to do differently following these visits. In the surveys everyone told us that they get the care and support they need, that staff listen to them and are available when they need them. People told us that the Care Homes for Older People Page 13 of 26 Evidence: staff were good and treated them with respect. People are asked if they want to keep their own medication. If they do staff check that it is safe for them to do this. There are lockable cabinets in the bedrooms so any medication people keep is locked away safely. We looked at the administration records for the medication that staff give out. We found that they were being completed properly this means that people get the right medication at the right times. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to participate in activities at the home and in the community. They are able to maintain control over their lives and make their own choices. Meals at the home are good offering choice and variety. Evidence: The person centered plans contained information about people preferred routines and interests. People told us that they can follow their own routines and do as they please. Each person has a do not disturb sign for their bedroom that they can use if they want privacy. Staff find out very detailed information from people. For example they are consulted about the arrangements for cleaning their bedroom and this is added to the care plan. This means that people retain control over their lives and continue to make their own choices. Staff work hard to make sure that people are able to maintain their contacts outside of the home. For example people are going out to Age Concern events and one person continues to go to out to a club. Staff also organise regular trips out, which people told us on the surveys they enjoy. People are looking forward to a forthcoming trip to Blackpool to see the illuminations and a fish and chip supper. Staff also book Care Homes for Older People Page 15 of 26 Evidence: entertainers to visit the home on a regular basis. Staff organise some activities in the home themselves both on a group and individual basis. The manager has also purchased a computer that has 24 hour internet access for people living in the home to use. There was a relaxed and friendly atmosphere in the home. People were occupied during the morning with reading the newspaper, visiting the hairdresser, watching television, talking to each other or to staff. Both hot and cold drinks were served between breakfast and lunch, which generated some good humoured banter between staff and people living there. We saw that relatives were made to feel welcome when they visit. There is a new visitors lounge that has tea and coffee making facilities an a comfortable leather suite, if people want to have some privacy. People living in the home told us that that the food was good as did staff who also have some meals at the home. There is a choice available for every meal. At lunchtime the dining tables were set with tablecloths, place mats, cutlery and condiments. The delivery of meals at lunchtime was well organised and staff were available to supervise and assist people if needed. The mealtime was a relaxed and social occasion. People are asked at residents meeting about the food and if there is anything different they would like. Their ideas are then incorporated into the menu the minutes from a recent meeting had also noted that someone had offered to tell them how to cook a certain dish. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to make a complaint and are confident that any concerns they might have would be sorted out. Staff understand what abuse is and how to use the safeguarding procedures. This means that people are kept safe. Evidence: The complaints procedure is clear and well publicised. People living in the home told us that they know who to talk to if they are unhappy about anything and know how to make a complaint. One person made the following comment: I wouldnt be frightened to make a complaint, but there has been no need so far. The home keeps a record of complaints that have been made that details what the complaint was about, what action they took and the outcome. This means that they are making sure they resolve any complaints properly. The staff have received adult protection training and are aware of what to do if they suspect that an incident of abuse or poor practice has occurred. The homes policies and procedures are up to date and the staff are aware of the procedures and guidance they contain. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe, comfortable, well maintained home. Evidence: Ferney Lee is situated in Todmorden and is approximately a 10 minute walk away from the centre of town. The home is well maintained, clean and comfortable. There is a car park at the front of the building. CCTV is in operation around the outside of the building for security purposes. Recently the fire safety precautions in the home have been improved with the installation of a sprinkler system, that will automatically operate if a fire was to break out. Environmental Health awarded the kitchen 4 stars for hygiene at their last visit. The home was clean and tidy on the day of the inspection. People living in the home told us that this is always the case. There are infection control procedures in place. There have been no infection control issues at the home since the last inspection. Care Homes for Older People Page 18 of 26 Evidence: The laundry is well equipped, clean and tidy. The required ‘non return’ valves are in place on the washing machines. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff on duty to make sure peoples needs are met. Staff are well trained this means they are qualified and competent to do their job. Staff are properly checked this makes sure that they are suitable and safe to work with older people. Evidence: During the day there is one senior staff member on duty with five care assistants. In the evenings there is a senior staff member and 4 care assistants. At night there are two care assistants on duty with a member of the senior team sleeping in who can be called if an emergency arises. There is cook, domestic and kitchen assistant cover during the day. Care staff cover the laundry duties. Staff said that at the current time the numbers of staff on duty were adequate to meet peoples needs. All staff we spoke to were well motivated and told us that they love coming to work. They all spoke highly of the manager and feel well supported and valued. People living in the home told us they like the staff. One person described them as brilliant. People also told us that staff know what they are doing, they are friendly and nothing is too much trouble. There are 64 of the care staff qualified to National Vocational Qualification (NVQ) Care Homes for Older People Page 20 of 26 Evidence: level 2 in care. This means that staff understand and are competent to do their job. The care staff that work in the intermediate care unit have additional training so they can deliver very specific support around improving peoples independence. The recruitment procedures are robust. All of the necessary checks are completed to ensure the suitability of new staff. All staff spoken to said that they had been given copies of the General Social Care Councils codes of practice. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interest of the people living there. Evidence: The manager is qualified and experienced. She is well liked by people living in the home and is respected by staff who said that she is approachable, fair and has brought new ideas into the home, which have improved the service. One person living in the home said shes the right one for the job. The manager makes sure that people living in the home, relatives and staff are all consulted about the way the home is run through regular meetings. She then uses this information to make appropriate changes. People are also consulted about the running of the home via the annual quality assurance questionnaires. These are going to be sent out soon. They have been delayed because of the home being closed and people were living elsewhere for a time, whilst the fire safety improvements were being made. Care Homes for Older People Page 22 of 26 Evidence: The responsible individual for the service completes the necessary monthly visits to the home and reports of these visits are available. These visits are a way of checking that the home is being run properly and that residents are satisfied with the service. The Annual Quality Assurance Assessment (AQAA) that we asked for was returned on time and contained all of the information we asked for. It clearly shows what improvements the manager still wants to make. The manager does hold money on behalf of residents. The records examined were well maintained and accurate. This means that people are being protected from any financial abuse. All of the staff members spoken to confirmed that they receive regular individual supervision. This means that staff are supported in their role and have the opportunity to discuss their personal development. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, health and safety, first aid and infection control training. The fire alarms are tested weekly and fire drills/practices are held. The Landlords Gas Safety certificate and moving and handling equipment service records were all seen and were up to date. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!