Inspection on 24/01/07 for Ferringham House

This inspection was carried out on 24th January 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 21/11/07

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 5UI Lead Inspector Mrs Diane Peel Unannounced Inspection 10:30 24 January 2007 th 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.V321916.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.V321916.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferringham House Address 58 Ferringham Lane Ferring Worthing West Sussex BN12 5UI 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.V321916.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. 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 £495 to £510 per week. Ferringham House DS0000064675.V321916.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 24th January 2007. During this visit the intended outcomes for 31 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided in a pre inspection questionnaire completed at the request of an inspector some months prior to this visit, the inspection report of the last visit to the home on the 1st September 2005 and other information received from the provider since the last visit to the home. During the visit a tour of the home took place with all communal areas and the majority of private accommodation visited. A case tracking exercise for three residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. Residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms or in the lounge. Staff were observed assisting and interacting with residents during the visit and it was observed that the atmosphere at the home was relaxed and friendly. Staff were spoken with informally to find out what it is like to work at the home and the inspector spoke with a visitor to discuss the flexibility of visiting arrangements. What the service does well: Residents say that it’s a nice place to live and the majority see it as an extension of their family. There were many compliments made by residents about the level of care and emotional support offered by the staff, manager and owner. The property is situated in a village and has plenty of community facilities near by. Residents say that they are supported to use a retirement club and local shops in the village so that they can continue to be part of the community. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 6 The home is well maintained and has a homely feel about it. Most residents have made their rooms their own by bringing items of furniture and their own beds to Ferringham House. Residents have positive comments to make about the standard of meals provided and the extensive choices available. There is a low turnover of staff and 50 of carers have a National Vocational Qualification in Care (NVQ). 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. The summary of this inspection report can be made available in other formats on request. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed choice about where they want to live and residents have their needs 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 services are offered. EVIDENCE: Ferringham House has a Statement of Purpose and Service Users Guide, which are regularly updated. The manager confirmed that there had been no changes most recent version, which the inspector had. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 9 The documents were informative and would assist prospective residents and relatives to make a choice about the suitability of the home. Care records viewed at this visit showed that resident’s needs are assessed prior to them moving in and used to develop a care plan. The daily records of one person had an entry which recorded an assessment at home and then moving into the care home for a period of respite care after which this person had decided to stay on as a permanent resident. The most recent person moving into the home had also arrived for a period of respite care but had decided that they would like to stay. The manager explained that this person was now undertaking the customary eight-week trail period, which the home has as part of its contract. One resident spoken with in the privacy of their room commented that they had lived in another care home nearby but did not like the food, they had been very unhappy. Their daughter had brought them to Ferringham House to have look round and then they had moved in. This was two years ago and they were very happy. They said, “ the two years have whizzed by, it’s just like a family here”. Ferringham House does not offer intermediate care. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. The home can demonstrated satisfactory medication handling. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: Three residents care plans were observed at this visit to the home to see how care plans had been developed from assessments. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 11 The three viewed were well documented and contained information necessary to assist residents whilst enabling them to retain their own levels of independence. The plans seen had been reviewed monthly to show any changes to the needs of these three particular residents. 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. They also record flu vaccinations. One residents spoken with confirmed that the Doctor would visit them at the home if they are too ill to go to the surgery. This same resident commented that they were looked after well by staff and they felt as if they could have as much privacy as they wanted. Medication is stored safely in a lockable metal cabinet and on the day of this visit a new supply had just been delivered and was waiting to be checked off and put into storage. New medication administration sheets, which had been delivered, had a place on them to record what medication was being returned at the end of each period, previously returns had been detailed on a carbon copy sheet. The majority of staff have attended a safe handling of medicines course and the manager told the inspector that two more staff had been registered to do the course. One person currently administers their own medication. The home carries out a self-administration assessment and then the resident signs up to the agreement that if they become unable to manage their medication staff will take over the responsibility. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of the home are planned around the resident’s needs and wishes so that there is some flexibility in the service. Activities are offered and residents who are able are encouraged to be part of the community. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Home cooked food is provided to a good standard and are choices to make at each meal time so that residents have a say in what they want to eat. EVIDENCE: There were twelve residents living at the home on the day of this visit. One had already gone out for the morning and lunch with their daughter when the Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 13 inspector arrived and the majority of the other residents were meeting in the lounge to take communion with a retired Cannon who visits the home. After taking communion the inspector spoke with residents in the lounge who were taking a glass of sherry before their main meal of the day. Those spoken with were very happy with the home and had positive comments to make about the staff and the manager. One person spoken with in the privacy of their room said that they liked to be able to stay in their room and do knitting, crocheting and needlework. They spoke about how the staff took them up to the village bus stop so that they can get on the bus to Worthing and visit a material and wool shop to choose their own supplies. This person showed the inspector some samples of the work carried out and at the time of the visit this person was using a curtain sample to make fitted armchair covers for their chair in the room. Other residents have the opportunity to attend a retirement club in the village, which has something happening every weekday. Many of the residents have lived in the village before moving to Ferringham House and this has been an opportunity for them to maintain contact with their old friends and acquaintances. Other people attend the Town Women’s Guild and W.I. The manager told the inspector that another resident has many friends who come to take them out to events and clubs. Other activities which take part in the home are: regular bingo on a Tuesday afternoon with prizes, video film shows, scrabble, dominoes and floor skittles. The manager told the inspector that if a resident has a specific show that they want to see at the theatre this can be arranged on a one to one basis. The home has its own library of books and the manager commented that she can get up to thirty large print books at any one time from the local library for the residents. Residents spoken with were complimentary about the standard of food. All residents have breakfast in their rooms except for one who likes to have a tray in the dining room. Residents have an individual menu, which they chose from the previous day. On the day of this visit the choice at the main meal time was: steak and kidney pie, sausages or a ham salad. The manager said that four different vegetables are cooked so that there is always a vegetable which most people like. Suppertime is at 6pm but residents told the inspector that there is afternoon tea every day when homemade cakes are served. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 14 At suppertime there is also a choice of menu, which usually included soup and sandwiches, but people said that they could have almost anything they wanted if they had it in the kitchen. One resident told the inspector said, “ I don’t want much to eat but its got to be tasty and it is really nice food here”. This person also told the inspector that they had a milky drink before they went to bed and could have a biscuit if they wanted. Ferringham House DS0000064675.V321916.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 home 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. A visitor to the home was able to confirm that they knew who to discuss any issues, which they had concerns about and they thought that a matter already brought to the attention of the manager was being dealt with. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 16 Residents commented that they can tell the manager if they are not happy about something. There have been no complaints made about the home to the Commission for Social Care Inspection (CSCI) since the last visit to the home in September 2005. The majority of staff have had adult protection training and this training is recorded on individual staff training records. The manager was aware of forth coming changes to the West Sussex Adult Protection procedures. Ferringham House DS0000064675.V321916.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and residents have a comfortable, homely, well-maintained environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. EVIDENCE: Ferringham House is located in the village of Ferring, close to the local shops, church, library and other community facilities. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 18 Communal areas consist of a large lounge with an adjacent dining area. There is a large well-maintained garden to the rear of the property, which residents can enjoy in the summer. Bedrooms are on the ground and first floor. There are thirteen en-suite rooms of which one room could be used for a couple if they wished to share. On the day of the visit there was one vacancy at the home and all other rooms were being used for single occupancy. There is a lift to the upper floor. The décor, furniture and fixtures and fitting are of a good standard throughout the home. The majority of bedrooms were visited. The manager confirmed that most residents had chosen to bring their own furniture to put in their bedrooms so that they had familiar items around them. On the day of the visit a bed was delivered for one resident who had initially come to the home for a period of respite care and decided to stay. They had requested that their own be delivered from their family home. One person spoken with in the privacy of their own room said that they liked their room and that most of the furniture in it was their own. They had plenty of space and it felt like “my own because I have things from home to wake up to each day.” 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. Ferringham House DS0000064675.V321916.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers are set at a level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. Staff receive training to support them in carrying out their jobs and meeting the needs of residents. EVIDENCE: Staffing rotas observed prior to the visit show that sufficient staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. Residents confirmed that there sufficient staff on duty at night and that there are usually enough staff on duty. There is a low turnover of staff at the home with some staff having worked there for many years. Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 20 Information provided prior to this visit provided by the manager states that there are 16 care staff and that 8 care staff have an NVQ at level 2 or above, which meets the 50 target required to be met by December 2005. This was confirmed by the manager on the day of the visit and commented that two other staff were about to start an N.V.Q level 2 and two people with a level 2 already are going on to do a level 3. 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. Staff-training records show that the training programme provides staff with the training, which helps them to provide a safe environment for themselves and the residents, which live at the home. Ferringham House DS0000064675.V321916.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): 31,33,35,37,38, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure the effective management of the home. The views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Procedures are in place to ensure that the home is a reasonably safe environment to live in. EVIDENCE: Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 22 The manager has been the registered manager of the home for 11 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. Customer consultation questionnaires are used to consult with residents and their families about their views of the home. The manager commented that as 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. The manager told the inspector that relatives and solicitors look after people’s monies. She explained that in the circumstances where 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 to be seen during this visit were up to date and in good order. Information in a pre inspection questionnaire provided by the manager showed that equipment and services are regularly checked. . The manager told the inspector that the Fire Officer had visited in September 2006 to give advise about completing the Fire Risk Assessment Ferringham House DS0000064675.V321916.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 3 3 3 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 3 4 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 3 3 Ferringham House DS0000064675.V321916.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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.V321916.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.V321916.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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