Inspection on 21/11/07 for Ferringham House

This inspection was carried out on 21st November 2007.

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

Ferringham House 13/10/09

Ferringham House 24/01/07

Ferringham House 01/09/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ferringham House 58 Ferringham Lane Ferring Worthing West Sussex BN12 5LU Lead Inspector Mrs D Peel Unannounced Inspection 10:00 21 November 2007 st X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferringham House Address 58 Ferringham Lane Ferring Worthing West Sussex BN12 5LU 01903 242334 01903 705695 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) Ferringham House Limited Mrs Susan Leaney Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of service users should not exceed 14 at any one time. 24th January 2007 Date of last inspection Brief Description of the Service: Ferringham House is registered with the Commission for Social Care Inspection to provide care for up to fourteen older people. Accommodation is provided by twelve single and one double room all with ensuite facilities. There is a passenger lift to the first floor. The home is situated in the centre of the village close to shops, church, post office and park which residents are able to use. The seafront is also close by. The current fees being charged by the home are from £515 per week. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 21st November 2007. During this visit the intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home previous inspection reports and information gathered about the home since it was last visited in January 2007 were reviewed. The Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) prior to this visit to the home and this was used to address areas of improvement and further improvements with the manager. Have Your Say surveys were returned to CSCI by two people living at the home, and this information was used to inform the inspection process. A case tracking exercise for two people living at the home was undertaken to look at how the assessed needs of this group of residents were being met. Staff were spoken with during the visit and observed during their interaction with people living at the home. During the visit a tour of the home took place with communal areas and some private accommodation being visited. What the service does well: Ferringham House presents as an extended family home, providing a comfortable, clean, well-maintained environment for people to enjoy living in. All bedrooms have en-suite facilities and people have made their rooms their own with by bringing items of furniture, pictures and keepsakes. People have ample opportunity to come to the home and “test it out” so that they can be sure that Ferringham House would be somewhere that they want to live. They are involved in agreeing what help they need in their plan of care so that they know what they can expect from the service. The approach of the home is that people who live at Ferringham House are in control of their lives and staff are committed to supporting individuals to lead purposeful and fulfilling life styles as independently as possible. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 6 People are encouraged to continue with their links outside Ferringham House so that they do not become isolated and people who have had short periods of stay at the home are encouraged to visit and take part in events and activities organised by the home. There is a low turnover of staff and management actively encourage staff development and facilitate staff members to undertake external qualifications beyond the basic requirements. The recruitment process is robust and aims to select the right person for the job rather than just filling a vacancy. The manager has developed a proactive approach to staffing by recruiting bank staff to cover vacancies and sickness, which ensures that there is no need to use agency staff. The management of the home communicates a clear sense of direction and both staff and people living in the home are able to express their views and concerns in a safe and understanding environment. Mrs Etherington (the responsible individual on behalf of Ferringham House Limited) works at the home and lives on the premises and she has daily contact with residents, staff and relatives. What has improved since the last inspection? What they could do better: There have been no requirements made during this inspection. Please contact the provider for advice of actions taken in response to this Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 People who use the service experience excellent outcomes in this area. People, who come to live at the home and their families, have information available to make an informed choice about where they want to live and people’s needs are assessed before they move to the home, so that they know that the home can meet those needs. There is an opportunity to visit the home and assess its suitability so that prospective residents know what facilities and service’s are offered EVIDENCE: Ferringham House has a Statement of Purpose, Service Users Guide and a brochure. The AQAA returned to CSCI states that “individuals are encouraged to view the home and are offered to spend a half day in the home” and “a trial period of eight weeks, flexible if needs to be longer.” Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 10 The two care plans viewed at this visit to the home showed that peoples needs a had been assessed before they moved into the home permanently and for one person two previous short stay visits were recorded which had enabled this person to make a decision about moving into Ferringham House permanently. On the day of the visit a couple were staying at the home for “ a holiday” which gave them the opportunity to experience what it could be like to live at Ferringham House permanently. The manager also explained that there were also a few other local people who come for short stay holidays who also visited the home most weeks to join in the bingo with people who live at the home so that they can remain in touch. The two people living at the home who returned Have Your Say surveys to CSCI both said that they had enough information about the home for them to be able to decide if it was the right place for them and one person reported “ recommended by several people that I knew.” Ferringham House does not offer intermediate care. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good outcomes in this area. Care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal and social care needs. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. EVIDENCE: The two care plans observed at this visit to the home had been developed from assessments and reviewed monthly to show changing needs. Those viewed were well documented and contained information necessary to assist residents where they needed assistance. Needs were identified and guidance given on how to meet the need whilst enabling people to retain their own levels of independence. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 12 Records kept of any event/incidents or visitors for each resident, recorded that residents are assisted to visit the Doctor at the local surgery, the dentist for check ups and treatment. Medication is stored safely in a lockable metal cabinet, which also contains the controlled drugs cupboard. A monitored dosage system is used at Ferringham House with a local pharmacy providing advice and the supply of prescribed medication. The medication records including the controlled drugs book were sampled and seen to be in good order. The majority of permanent staff have attended a safe handling of medicines course and the manager told the inspector that those staff that have not done the course were either bank staff or did not work many hours. The rota is put together so that there is always someone on duty who has done the training and been assessed as competent to administer medication. Sample signatures were seen with the medication record sheets. The two people living at the home returning Have Your say surveys to CSCI reported that their medical needs were being met and that their care and support needs were usually met. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, People who use the service experience excellent outcomes in this area. People are encouraged to maintain an active lifestyle, maintaining contact with their family and friends and remaining part of the village community. The people who live at the home are independent and need very little assistance with their personal care and arranging their social lives. EVIDENCE: On the day of the visit to Ferringham House there were nine people living there permanently and two people staying for a week on “ holiday.” One person continues to use local transport to visit the shops in Worthing and was observed to leave the home independently during the visit to Ferringham House. Care plans were observed to detail information about people’s social interests and relationships outside the home. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 14 Many of the residents have lived in the same village for many years and have chosen to continue to access the local facilities such as a retirement club in the village, which has something happening every weekday and other people have the opportunity attend the Town Women’s Guild and W.I. this has enabled people to maintain contact with their old friends and acquaintances. Regular bingo sessions are held at the home, which is also sometimes attended by people living in the village who stay at the home occasionally for a “ holiday”. Ferringham House took part in the annual village best garden competition this year and won two classes of “private garden and secret garden.” Feedback from the two people returning surveys to CSCI report that the home sometimes arranges activates. The home has its own library of books and large print books can be accessed from the local library for the people who live at the home. The visitors book sited in the entrance hall recorded regular visitors to the home and the statement of purpose encourages visitors to the home. The AQAA returned to CSCI states “ the home involves family and residents in all aspects of running the home. We are honest and open with individuals, and we work together for the benefit of the residents”. People who live at the home consider food to be of a good standard. One person returning a survey to CSCI said, “ Meals are very good.” On the day of the visit the main meal of the day was being prepared and fresh cakes were being made. Records of what people had chosen to eat were seen and the manager explained that people make these choices the previous day. The choices for the main meal were beef goulash or sausage, or salad followed by treacle sponge and custard or a choice of different fresh fruits. The cook explained that she prepares a number of vegetables each day to choose from because people had their different preferences. Included in the vegetables observed being cooked during the visit were: potatoes, carrots, leaks and green beans. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good outcomes in this area. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be taken seriously and acted upon. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The home has a complaints procedure, which is available in the entrance hall and is included in the terms and conditions of residency at the home. The logging of a complaint is made in a small book, which then points to the location of the actual documentation recording the investigation of a complaint. The AQAA returned to CSCI in August 2007 reports that the home had not received any complaints and the records at the home did not show any complaints recorded since the last visit in by CSCI in January 2007. The two people living at the home who returned Have Your Say surveys to CSCI Both reported that they knew how to make a complaint and that they knew who to speak to if they were not happy. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 16 The home has its own safeguarding adults policy, which is recorded in the AQAA returned to CSCI as being reviewed in July 2007. The home also has the revised West Sussex Multi Agency Safeguarding Adults procedures booklet and the manager confirmed that she had attended the seminar facilitated by West Sussex Social and Caring Services. The AQAA states “ At the present time we are making staff aware of the updated Adult Protection policy provided by WSCC”. No safeguarding adults matters or complaints have come to the attention of CSCI since the last visit to the home in January 2007. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,21,22,23,24,25,26 People who use the service experience excellent outcomes in this area. Ferringham House provides a well maintained a home from home environment so that people enjoy living in there. EVIDENCE: Ferringham House feels homely and the communal areas, which consist of a large lounge with an adjacent dining area, are just like large family homes. There is a well-maintained garden to the rear of the property for people to enjoy when the weather is suitable. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 18 Bedrooms are on the ground and first floor and there is a lift to the upper floor. There are thirteen en-suite rooms of which one room could be used for a couple if they wished to share. Since the last visit to the home by CSCI bedrooms, which have been vacated, have been redecorated and the staff and residents toilet has been redecorated. People have been able to bring items of furniture with them to Ferringham House and some people have a bed-sit arrangement in their rooms. Bedroom doors do not have locks on but it in care plans viewed at this visit there was a signed note by that resident acknowledging that they could have a lock if they requested one. On the day of the visit the home was observed to be extremely clean and well maintained. People returning Have Your Say surveys to CSCI both reported that the home is always clean and fresh. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience excellent outcomes in this area. Recruitment procedures safeguard and protect residents at the home and staff receive training to support them in carrying out their jobs. EVIDENCE: There is a low turnover of staff at the home with some staff having worked there for many years. The responsible individual on behalf of Ferringham House Limited lives on the premises and also works as part of the staff team on most mornings. Rotas were seen during the visit showing that staff are available at all times with more staff on duty at busy times of the day. Information provided in the AQAA returned to CSCI reports that out of the fifteen permanent staff working at the home nine staff have an NVQ level 2 or above and another person is working towards an NVQ level 2. The manager also commented that two people were undertaking an NVQ level 4 which was being paid for by the organisation. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 20 On the day of the visit to the home two staff were on dementia care training and other training records, applications for places on courses and certificates in people files showed that staff have opportunities to further their knowledge and skills. The staff files of two members of staff were fully inspected during the visit and other records were viewed to make sure that Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) clearance is sought for all staff. Documented evidence of induction was observed to be in place with staff following the Skills for Care induction standards. One person who returned a Have Your Say survey to CSCI commented, “caring staff “ and “ most of the staff are helpful”. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People who use the service experience excellent outcomes in this area. Systems are in place to ensure the effective management of the home and the views of people living at the home and their families are sought so that people who live at the home know that the home is being run in their best interests. EVIDENCE: The manager has been the registered manager of the home for many years. She is a Registered Nurse and has completed the BTEC Certificate in Management and can demonstrate that she keeps herself up to date by attending further training courses. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 22 Mrs Etherington (the responsible individual on behalf of Ferringham House Limited) works at the home and lives on the premises she has daily contact with residents, staff and relatives to be able to maintain quality standards. Surveys are sent distributed to people who live at the home annually so that the manager can see how far the home is meeting its aims and objectives. Although the manager prefers not to hold any monies for people living at the home small amounts of money are kept, receipts are kept and a photocopy of the sheet recording monies spent is supplied to relative’s advocates. All records requested for viewing during the visit to the home were well kept and up to date. Information provided in the AQAA returned to CSCI in August 2007 showed that equipment and domestic services are regularly serviced. During the visit these were tested out at random with records for fire equipment maintenance being viewed and dates for the checking of electrical equipment being confirmed. Fire risk assessments were seen to be in place and the manager confirmed that the fire officer visited in August 2007. Safe Food Better Business supplied by the Food Standards Agency was observed to be in place and completed and the manager confirmed that the Environmental health Officer visited in September 2007. Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 4 4 3 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X 3 3 Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ferringham House DS0000064675.V347447.R01.S.doc Version 5.2 Page 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. 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