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Inspection on 09/01/06 for Fernlea Care Home

Also see our care home review for Fernlea Care Home for more information

This inspection was carried out on 9th January 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is well managed and resident led. The staff team are well motivated. There were good relationships between residents and staff on duty. Management and staff are fully committed to ensure residents needs and wishes are met. Staff recruitment and induction programmes are well managed.

What has improved since the last inspection?

New lounge and dining room furniture has been provided. New carpets for all communal areas are being laid.

What the care home could do better:

Repairs/replacement of windows and external decoration.

CARE HOME ADULTS 18-65 Fernlea Care Home Sway Road Brockenhurst Hampshire SO42 7SG Lead Inspector Mr Roy Bega Unannounced Inspection 9th January 2006 09:30a Fernlea Care Home DS0000037572.V274206.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 Fernlea Care Home DS0000037572.V274206.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. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fernlea Care Home Address Sway Road Brockenhurst Hampshire SO42 7SG 01905 795088 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) fernlea@craegmoor.co.uk Park Care Homes (No 2) Ltd Mrs Frances Enid Gillies Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Fernlea is managed by Parkcare Homes No: 2, which is a trading subsidiary of Craegmoor Group Ltd, a national company providing residential and nursing care. The property is a large detached house set in a large garden. It is located in the New Forest village of Brockenhurst within walking distance of local amenities. Fernlea provides care for up to 10 residents with a learning disability and/or a mental disorder. All residents are accommodated in single bedrooms. The age range of the current service users (seven males) is 22-62 years. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection Standards not inspected on this occasion will be assessed during future visits. This visit took place on 9 January 2006 2005 between the hours of 9-30 a.m. and 12-45 p.m., a total of three and a quarter hours hours. Opportunity was taken to look around the home view records, observe the working environment and speak with residents and staff. One requirement raised resulting from the previous inspection of 21 September 2005 with regards to replacement/repairs of windows and external redecoration has not been completed. There were not any new requirements raised resulting from this inspection. What the service does well: What has improved since the last inspection? What they could do better: Repairs/replacement of windows and external decoration. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. Prospective residents and their representatives are provided with information they need about the home. EVIDENCE: The home’s up to date statement of purpose setting out the aims, objectives and philosophy of, its services and facilities and terms and conditions was seen. A copy of the residents guide in a format suitable for the people for whom the home is intended was also seen. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were inspected on this occasion. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: None of the standards in this section were inspected on this occasion. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: None of the standards in this section were inspected on this occasion. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: None of the standards in this section were inspected on this occasion. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 13 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, 26, and 28. Residents live in a homely environment that is well maintained internally. Residents’ bedrooms promote their independence. Shared spaces complement residents’ individual rooms. EVIDENCE: As a result of the previous inspection the following maintenance requirements were raised • Paintwork to facia and soffit boards flaking • Paintwork to window frames and sills is flaking. In places bare wood showing and rotten. • Masonry paintwork grubby and flaking in several places. Mrs Gilles informed the inspector that it has been agreed by the organisation to complete the work within the budget for 2006. Until completed these matters will remain a requirement. It was noted that that new dining room and lounge furniture has been provided. The inspector was informed that new carpets are to be fitted in all communal areas including hallways. This work is planned to commence week beginning 16 January 20006. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 14 With residents present a sample of three bedrooms were inspected. Residents informed the inspector that they had chosen the colour schemes and soft furnishings. It was noted that bedrooms seen have personalised by residents. A range of comfortable, safe and fully accessible shared space is provided. These include outdoor space proportionate to number of residents and staff, kitchen and laundry facilities, which are domestic in, scale, a large lounge/dining room and separate dining room. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 15 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, 33, 34 and 36. Residents’ benefit from stringent recruitment policy and procedure, an effective staff team who have clarity of their roles and responsibilities and are well supervi9sed. EVIDENCE: Discussions with staff and residents and observations indicated staff know and support the main aims and values of the home, know their work and that of other staff in promoting the main aims of the home. Positive relationships and respect was evident between residents and staff on duty. The home has an effective staff team, sufficient numbers and complimentary skills to support residents assessed needs. At the time of the inspection three care staff were in duty. The rosta seen indicated this is the norm during waking hours seven days. One staff record was seen which included copies of detailed job descriptions and required documentation. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 16 Discussions and records seen indicated that the organisation operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of residents. New staff complete a full induction programme which includes “The Learning Difficulties awareness Framework” induction programme. Discussions and records seen indicated that staff receive the support and supervision they need to carry out their jobs. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 17 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): 39. Effective quality assurance and monitoring systems are in place to ensure the home is run in the best interest of residents. EVIDENCE: Observations and discussions indicated that management and staff are fully committed to ensure residents needs and wishes are met. Residents’ thoughts and opinions about what the home provides and how it is run are actively sought. Minutes of monthly residents meetings were seen. An annual review is held for each resident that is linked to implement of individual plans. During this process views of family, friends, advocates and professionals within the community are sought on how the home is achieving goals for residents. Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 18 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 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 3 29 3 30 X STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X X X Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 19 Yes 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 (2 b) Requirement Repair/replacement and redecoration as described in standard 24. This requirement was also raised resulting from the previous inspection of 21 September 2005.An action plan is in place to meet this requirement within the budget for 2006. Work to be completed by the stipulated timescale. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fernlea Care Home DS0000037572.V274206.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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