Inspection on 13/07/05 for Fernleaf Care Home

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fernleaf Care Home 30/05/07

Fernleaf Care Home 14/06/06

Fernleaf Care Home 06/02/06

Fernleaf Care Home 07/03/05

Fernleaf Care Home 09/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Fernleaf Care Home 26 Chesterfield Road South Mansfield Nottinghamshire NG19 7AD Lead Inspector Stephen Benson Unannounced 13/7/05 12.30pm The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fernleaf Care Home Address 26 Chesterfield Road South Mansfield Arnold Nottinghamshire NG19 7AD 01623 510670 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bank House Care Homes Ltd K Sooriah CRH 21 Category(ies) of DE 4 registration, with number OP 21 of places Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 7/3/05 Brief Description of the Service: Fernleaf is a care home providing personal care and accommodation for up to 21 older people and has four beds allocated to care for people with dementia. The home provides short term, long term or respite care and accepts emergency admissions subject to bed availability. The home is owned by Mr. and Mrs. Sooriah and is a run as a family business. The home is located in Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in January 1985 and consists of a former hotel building with extensions added19 of the home’s bedrooms are single, and 9 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. There are 3 bedrooms on the first floor that are accessed by 3 steps which h\as a stair lift fited.The home has an enclosed garden to the rear, which is easily accessible. There is car parking available for up to 8 cars to the front of the home in a small car park, which also houses the homes mini bus. The home has had considerable amount of refurbishment since the proprietors purchased the home in 2003. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 4 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed. Other residents were spoken with but no visitors to the home were seen. The premises were not inspected in detail but various areas of the home were visited as part of the inspection What the service does well: Care plans are completed well and informative. Residents said that their needs were being met and also said that they have had recent eye tests. Where any health concerns are identified staff monitor these using forms prepared for this purpose and use any equipment needed to assist the resident. There is a separate medical room which was well organised and the drug administration records were correctly completed. Residents confirmed that they are given their medication. Residents are helped to be as independent as possible and some go out to the local town centre and there is a monthly church service held in the home. Visitors are welcome at any time. Residents spoke positively about the food describing it as homely. The décor and fabric of the building is good and residents said that there have been many improvements since the new owner bought it. Laundry arrangements are good and residents spoke of their clothes being handled in the way they wished. Staff are trained in safe working practices and the routine safety checks and tests are carried out at the correct timescales. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 There are good arrangements in the home for meeting the health and personal needs of residents. EVIDENCE: Care plans seen were well-ordered and contained clear directions as to how residents needs are to be met. Plans are based upon the activities of daily living and are reviewed monthly. Staff were familiar with the care plans and residents said that staff knew how to meet their needs. There are systems in the care plans for monitoring the well being of residents and a record is made of all appointments attended and treatment given. Appropriate equipment is available to promote residents well being and staff are provided with training on common ailments associated with old age and were aware of their role in maintaining residents health. Residents referred to recent medical appointments and health checks and one resident said she had just ordered some new glasses following a visit to the optician. The storage of medicines is well organised in a separate medical room. The home uses a monitored dosage system and records of medicine administration (MAR) were clear and fully completed. Some residents self medicate all or part of their medication. Staff are required to complete a safe handling of medicines course and be familiar with the home’s policy on the safe storage, Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 10 handling and administration of medicines. Residents said that they are given their medication regularly. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents are able to maintain their independence and follow their individual interests, but there are not enough organised activities provided. There are good arrangements for the preparation and serving of food that are suitable for the residents. EVIDENCE: Residents are encouraged to follow as independent lifestyle as they are able and residents gave examples of assistance they receive for this. One resident pointed to a ramp that had been fitted to enable her to use the garden independently. Some residents had gone out to the local town centre and another resident said she was waiting for an electric wheelchair so she could go out. Residents described various pastimes, including looking after a rabbit and reading; although they said that they would like more activities to be provided. One resident said she had only played bingo three times in the last year and another said she would like to play scrabble. A monthly church service with communion is held in the home and one resident said she goes to a local church on Sundays. Residents said they had appreciated the effort staff had made to mark VE day, including coming into work in 1940’s dress. Visitors are welcome to visit the home at any time and can see residents in private if they wish. A record is made of when visitors have been. Residents are able to bring their own possessions into the home. One resident said that Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 12 she had requested an alternative chair in her bedroom, which had been provided. There is a four week menu which provides a balanced diet and a choice at all meals. Residents said that the food was homely and they had plenty to eat. Drinks are provided at regular intervals and residents can ask for one at any other time. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Residents live in a safe and well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: The home was in good decorative order, well maintained, clean and fresh. Residents said that the provider has made considerable improvements since he purchased the home. Residents enjoy using the garden, which is tended to by a gardener. The laundry is suitable equipped and there are procedures in place for infection control. A resident said she had asked for her trousers to be ironed in a particular way and this was now being done. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The health, safety and welfare of residents are promoted and protected. EVIDENCE: Staff receive training for safe working practices. The required safety checks and tests are carried out at the required intervals. Residents said they have heard the fire alarm being tested. Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 3 Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 18 NO 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 12 Regulation 16 Requirement Provide a programme of activities in line with residents wishes Timescale for action 1st October 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Edgeley House Tottle Road Nottingham NG2 1RT 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 Fernleaf Care Home C03 C53 S52265 Fernleaf V238537 150705 Stage 4.doc Version 1.40 Page 20 - 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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