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Inspection on 25/09/05 for Fernlea Residential Home

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

This inspection was carried out on 25th September 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 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 4 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 service provides are and accommodation for up to 13 service users who may have a physical disability. The home is single storey building with ramped access, all bedrooms are for single occupancy and there is adequate communal space. The staffing levels are sufficient to meet the needs of the service user group and the standard of training is good. Records indicated that staff supervision was up to date. The service provides prospective and existing service user with the information they require to make an informed decision about moving in or staying in the home. Care plans are good and based upon assessment of need, the records showed that they were regularly reviewed. The health care needs of service user were monitored and appropriately met with good evidence of partnership with the local primary care teams. Service user confirmed satisfaction with the care and support they received and made positive comments about the staff and management at the home. They also confirmed that they were involved in the day to day decision making in the home. There was evidence that service users were being supported to access social and recreational activities and in one example a service user was being supported to obtain voluntary work. Policies and procedures were in place and had been regularly reviewed, risk assessments had been produced, for individual service user and more general and environmental risks. Fire safety procedures were satisfactory, with regular checks recorded

What has improved since the last inspection?

Since the last inspection some environmental improvement have been made, such as new double glazed windows to the front of the property, some cosmetic redecoration in the corridors, and bathrooms.

What the care home could do better:

The service should ensure that service user meetings are recorded as evidence they have taken place, and a record maintained of the one to one service user key worker discussions. The manager was asked to resolve the issues raised by one service user during this inspection, and to continue to pursue advocacy support for those service users who recently received notice of reduced day care sessions. The provider should consider the provision of adapted transport for the benefit of service users. Daily records of fridge freezer temperatures should be maintained. Medication stored in the fridge should be kept in a sealed container to avoid the risk of cross contamination. The service should consider up grading the toilet`s in the older part of the building, and must resolve the damp odour in the rear bedroom, and maintain an ambient temperature throughout the home, in all areas used by service users. The service must ensure that all staff are involved with fire drills, two per year for day staff and four per year for night staff. More regular staff meeting s should be held. The service should try to provide one first aid trained staff pre shift.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Fernlea Residential Home 114 Sandon Road Meir Stoke-on-trent Staffordshire ST3 7DF Lead Inspector Ms Wendy Jones Unannounced Inspection 25 September 2005 13:00 Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 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 Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 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 and 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 Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fernlea Residential Home Address 114 Sandon Road Meir Stoke-on-trent Staffordshire ST3 7DF 01782 342822 01782 342822 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) Priorcare Homes Limited Mrs Rachael Foden Care Home 13 Category(ies) of Learning disability (3), Physical disability (13), registration, with number Physical disability over 65 years of age (8) of places Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 Brief Description of the Service: Fernlea is located on the outskirts of Meir, Stoke-on-Trent and is within walking distance of a post office, a small supermarket, a fish and chip shop, a newsagent’s and a post office. The property is set back from a busy main road. Fernlea provides care and accommodation for up to thirteen service users within the PH category. All accommodation is single storey, all bedrooms are single, none have en-suite facilities, and not all of the single bedrooms meet the minimum twelve sq metres standard. A spacious lounge/dining room and a large “recreation” room provide adequate communal space for the currently fully occupied home. Access to kitchen facilities is limited due to the domestic style and size, but a kitchenette area has been created in the recreation room. Bathing facilities are provided in a spacious assisted bathroom and a separate walk-in shower room. Two additional assisted WC facilities are also provided. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on 25/09/2005. All service users were in the home, a number were spoken to during this visit. The care manager was also on duty. Action had been taken to address the main requirements of the previous inspection. The information for this inspection was provided from care records, staff rota’s, medication records and other relevant documentation; the inspection included, observation of the physical environment and interactions between service user and staff and discussion with service users. What the service does well: The service provides are and accommodation for up to 13 service users who may have a physical disability. The home is single storey building with ramped access, all bedrooms are for single occupancy and there is adequate communal space. The staffing levels are sufficient to meet the needs of the service user group and the standard of training is good. Records indicated that staff supervision was up to date. The service provides prospective and existing service user with the information they require to make an informed decision about moving in or staying in the home. Care plans are good and based upon assessment of need, the records showed that they were regularly reviewed. The health care needs of service user were monitored and appropriately met with good evidence of partnership with the local primary care teams. Service user confirmed satisfaction with the care and support they received and made positive comments about the staff and management at the home. They also confirmed that they were involved in the day to day decision making in the home. There was evidence that service users were being supported to access social and recreational activities and in one example a service user was being supported to obtain voluntary work. Policies and procedures were in place and had been regularly reviewed, risk assessments had been produced, for individual service user and more general and environmental risks. Fire safety procedures were satisfactory, with regular checks recorded. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 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. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X These standards were not inspected during this visit. EVIDENCE: Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9. The standard of care planning and reviews was good, providing a thorough assessment of need, evidence of regular review and involvement of service users. Personal support in this home is not offered in such a way as to promote and protect service users’ privacy dignity and independence. The systems for service user consultation in this home are good but more regular records should be maintained as further evidence that service users’ views are both sought and acted upon. Records to show how service users were involved in the day to day decision making in the home needed to be better maintained. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 10 EVIDENCE: There was evidence of assessments of need, care plans to address assessed need, regular monitoring of care and regular reviews. From discussion with service users and the manager, it was evident that service users were involved with any review of their care undertaken in the home. The manager stated that the service users were also involved in the decision making in the home, the records seen did not support this. It was suggested that a record of the 1:1 discussion between service users and their key workers were maintained, as further evidence that service user are involved in all aspects of their care. All of the residents required some level of assistance with washing and bathing and most needed assistance to dress and undress. Staff were observed supporting service users and providing assistance with care needs. Discreet and sensitive interventions were observed, with service users wishes respected. Of the five service users spoken to, four were very happy with the service they received, making favourable and complimentary comments about the manager and the care team and the support they received. One service user was confident in the staff team but identified some conflict between other service users, this matter was discussed with the service user and the manager. It was suggested that the manager continues to monitor the situation and to take what ever action is necessary to resolve matters to every ones satisfaction. It was understood that at a recent review the service user had expressed satisfaction with the placement. Risk assessments had been carried out in relation to individual risks, environmental risks and more general risks, those seen had been reviewed. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,16 and 17. Service users are supported to access a range of social and recreational community activities, in a variety of settings. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 12 Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Weekly service user meetings were facilitated by staff to encourage service users to be involved in the day to day decision making in the home. They plan the following week’s menus, and the activities they want to participate in and discuss other events. It was suggested that records of these meetings are maintained. The manager expressed some concerns that Stoke-on-Trent funded service users had their funding for access to day care services reduced. This affected 5 service users, who had previously used the services for 2 to 3 day’s per week have been reduced 1 to 2 days per week. The manager indicated that advocates had been sought to support service user to challenge the decision, but in the mean time service user were being supported to fid alternative activities in or out of the home. The manager also stated that the service as trying to increase the range of activities in the home and to provide further evidence for inspection purposes of the variety of activities that are enjoyed by service users. One service user was to start a voluntary job at the local community centre. Other service users had accessed local colleges, two service users had enrolled on courses this year and also used local library facilities. Annual holiday’s had been enjoyed by service users; 4 service users had been for short breaks in Blackpool, 5 service users were going on an outward bound type holiday in Cornwall, other service users had been away with families. The manager discussed difficulties accessing community facilities and although taxi services were used, they were quite expensive and also provided a limited service due to other contractual obligations. Public transport was also occasionally used but was not entirely suitable for all service users. There would be some benefit in the service having it’s own adapted transport, a suggestion that the provider is asked to consider. The menu’s were displayed in the kitchen, with the choice available recorded in the communal areas, alternatives to the main meal choices were available on request. The menu’s were reported to be planned weekly with the service users. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 13 It was recommended that the temperatures of fridges and freezers were checked and recorded daily, as there were some gaps in the record keeping. A recent Environmental Health certificate had been issued. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users’ medication needs are met. EVIDENCE: The records showed that the health care needs of service users were being satisfactorily met. All were registered with a GP, and had access to primary health care services. Health checks were facilitated. Specific health issues included diabetes and epilepsy, specialist health advice and training had been provided. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 15 Care records included evidence that the personal care needs of service users had been assessed and action taken to address any identified need. Service user confirmed that they had attended dental, GP and other health appointments. Medication records were satisfactory; there was evidence of records of medication received in the home and those returned to the pharmacist. The medication returned is signed for by the receiver. Medication stored in the fridge should be kept in a separate container, away from any risk of contamination. Information regarding the purpose and effects of all medication was available for staff guidance. A homely remedies list was also available. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. EVIDENCE: The service has a complaints procedure that is included in the Statement of Purpose and Service User Guide and is displayed in the home. Service users spoken to confirmed that they knew who to go to if they had any concerns, and indicated that they felt confident that any concerns they had would be properly investigated. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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, 27, 28, 29 and 30. The standard of the environment within this home is adequate providing service users with an attractive and homely place to live. It would benefit from some further upgrading particularly to the toilet areas. EVIDENCE: The service provided single storey accommodation, all bedrooms were single occupancy, the building itself had been extended over the years, with the newer part of the home being much more user friendly, in terms of the width of the corridors and the space that was provided. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 18 The communal space is adequate providing service user with a choice of lounge/ dining room and recreation room with additional dining area. Due to the nature of the service and the ability of the service users, many remain in their wheelchairs. As a consequence the lounge furniture in the home is limited, to ensure that there is adequate space for service users. Four bedrooms were seen during this inspection, each of the room was well equipped, maintained and furnished with evidence that service user had been supported to personalise their rooms. At the rear of the home there was an odour in one bedroom that seemed to indicate that damp was present, the radiators were not on at that time and it felt cold, although service user did not complain of being cold. The care manager stated that the heating was on a timer. It was recommended that the provider investigates the cause of the odour and take action to resolve it and it was required that the temperature of the home is maintained at an ambient level for the benefit of the service users. Since the last inspection some areas of the home had been updated, however it was clear form this inspection that other areas namely the single toilets would benefit from upgrading, to provide more modern and attractive facilities for the service users in the home. The main kitchen is of domestic design and not user friendly for the service user group, since the last inspection new flooring has been fitted. The service had recognised the limitation of the facilities and has provided a kitchenette area in the recreation room, where service uses have access to a fridge, microwave, and drink making facilities. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 and 36. The staffing arrangements in the home were satisfactory, with little turnover and a good standard of training. EVIDENCE: The manager reported that 4 staff have achieved NVQ 2, 3 have achieved NVQ level 3 and one of the care team was undertaking the training, the deputy was undertaking NVQ 4. The service has exceeded the National Minimum standard required in respect of NVQ qualification and should be applauded for this achievement. Staff meetings were recorded the manager stated that they were planned approximately every three months; the last record indicated that a meeting Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 20 had last taken place in January 2005. The manager stated that the last meeting had been cancelled, but she would rearrange it. Staff supervision was undertaken regularly and appraisal carried out annually. The responsibility for supervision is delegated between the manager and her deputy. It was recommended that all staff responsible for the formal one to one supervision of others have undertaken relevant training. Staffing levels for the day of this visit included, 1x 8am-2pm, 1x 7am-2pm, 1x 9.30am-2pm, 1x 2pm-10pm, 1 x 4pm-10pm and the manager from 2pm-6pm. The service also provides 1 waking and 1 sleep in staff from 10pm-8am. Staff undertake the domestic and cleaning chores of the service, they also support service users to take some responsibility for their own rooms and laundry. Staff training appeared to be satisfactory, with mandatory training generally up to date, or with up dates planned. The manager was asked to ensure that one staff per shift has a current first aid certificate. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 41, 42. The manager is supported well by her senior staff in providing clear leadership throughout the home. The health and safety of service users was assured, by good risk assessments, satisfactory policies and procedures and fire safety checks. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 22 EVIDENCE: The care manager had undertaken NVQ 4 in management and had achieved the Registered Care Managers Award, she was undertaking the NVQ 4 in care and expected to complete it by April 2006. Proof of qualification was provided during this visit. The deputy manager had achieved NVQ level 3 and was undertaking NVQ 4. Fire safety records were up to date, the fire safety risk assessment had been reviewed in January 2005 and fire safety equipment had been service annually. Records of fire training indicated that staff received training and instruction twice per year. Fire drills were also recorded regularly, the manager was asked to ensure that those staff working nights, received four drills per year. Individual and general risk assessments were in place and had been reviewed regularly. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 2 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 2 27 x 28 2 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 4 36 3 CONDUCT AND MANAGEMENT 37 3 38 X 39 X 40 X 41 3 42 3 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 2 3 x x 3 x 2 x 3 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 24 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 YA34 Regulation 19 Requirement Timescale for action 25/10/05 2 3 YA24 YA24 23(2) 23(2) 4 YA42 23(4) The responsible person must ensure that two written references are obtained for all employees.( previous timescale). The responsible person must 25/10/05 investigate and resolve the damp odour in the rear bedroom. Adequate temperatures must be 26/10/05 maintained in all areas of the home used by used by service users. All night staff must be involved 25/11/05 with a minimum of 4 fire drills per year. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA27 YA30 Good Practice Recommendations The single toilets would benefit from upgrading. The laundry area would benefit form upgrading. DS0000008228.V254918.R01.S.doc Version 5.0 Page 25 Fernlea Residential Home 3 4 5 6 7 8 YA13 YA20 YA17 YA36 YA8 YA31 The service should consider the provision of a means of transport for the benefit of service users. Medication stored in the fridge should be kept in a sealed container, to protect from contamination. Daily records of fridge and freezer temperatures should be maintained. Staff meetings should be held more regularly. Records of weekly service user meetings and the one to one key worker/service user discussion should be maintained. Staff responsible for the formal one to one supervision of other staff should undertake training to ensure they are competent to do so. Fernlea Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Residential Home DS0000008228.V254918.R01.S.doc Version 5.0 Page 27 - 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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