This inspection was carried out on 21st January 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Feryemount Residential Home North Street Ferryhill Co Durham DL17 8HX Lead Inspector
John Trainor Unannounced Inspection 21st February 2006 11:30 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 Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Feryemount Residential Home Address North Street Ferryhill Co Durham DL17 8HX 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) 01740 651 667 01740 651 667 Durham County Council Ms Christine Elizabeth Ann Johnson Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (9) of places Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That 1 place be maintained for a current service user in the category of DE(E) until that service user no longer requires this accommodation. 19th October 2005 Date of last inspection Brief Description of the Service: Feryemount residential care home has been long established in the town of Ferryhill. The home is owned by Durham County Council and is registered for 29 Older Persons (OP) of which 9 are in the category of Physical Disability aged 55yrs or over. The home provides an intermediate care service for up to 9 persons. Service users are accommodated on the ground floor and first floor in single occupancy rooms. Throughout the home there is a range of separate lounges including a separate visitors lounge. Meals are provided in the main kitchen. A vertical/shaft lift is provided to the first floor for those less ambulant. Gardens to the rear of the home are well cultivated and provide easy access for service users. The home provides 3-day care places for service users in the community. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two hours. Those key standards not inspected at the last inspection were looked at as well as those areas which had required improvement. The homes representative was Yvonne moor. What the service does well: 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. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 6 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 Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 People were assured the home could meet their needs prior to making a decision to move in. EVIDENCE: The home now has a letter confirming it is able to meet people’s needs following assessment. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7 and 9. Though people could be confident their health care needs would be met and recorded in a plan of care improvements to the record keeping process would enhance the continuity of care for people. EVIDENCE: The home had failed to review it’s PRN medication policy or its record keeping practice so care plans and daily records were kept separately and daily records were completed without reference to care plans. This does not encourage consistency of care or the use of care planning as a working process staff actively comply with. Many people are prescribed pain relief up to four times per day whether they need it or not on the off chance that one day they may need it and though staff are recording when medication is not given this is effectively a PRN medication system where staff are making the decision about whether people need the medication or not. It is recommended this policy be revised in conjunction with the community pharmacist to provide clear guidance for staff on best practice to manage this issue. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 9 Handwritten medication sheets for the intermediate care unit had not been checked and countersigned leaving room for error in administration. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 10 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 the following standard(s): Not inspected at this inspection. EVIDENCE: Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 11 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 the following standard(s): Not inspected at this inspection. EVIDENCE: Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19 and 26 People lived in a safe and well maintained environment which would benefit from repair to the laundry floor to improve infection control. EVIDENCE: The electric wiring had been tested to ensure safety. The laundry flooring had not been adequately repaired following the requirement from the last inspection and needed repair to create an effective waterproof seal. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 Staff were deployed in sufficient numbers and skill mix to meet peoples needs. EVIDENCE: Staff recruitment and staffing levels were found to be acceptable though the fluctuating needs of the intermediate care unit did mean that agency staff were regularly used due to long term sickness in the permanent staffing team. It is recommended these sickness issues are addressed to ensure consistency of the workers for people living at the home. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 38 The home was being managed safely in the interests of service users. EVIDENCE: Electrical hard wiring had been checked and fire safety training had been implemented though still with the use of a video which is not specific to the home’s needs. It is recommended the registered person consult with the fire officer on the appropriateness of fire safety training in the home. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 15 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 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13 (2) Requirement Timescale for action 21/02/06 5. OP19 13 (4(c)) In the intermediate care unit staff were handwriting medication administration sheets without having them counter checked and countersigned to ensure an accurate reflection of the prescribing instruction. This practice must stop and staff must have any handwritten entry counterchecked and countersigned. The laundry floor requires repair 30/06/06 to ensure a waterproof seal. (Previous timescale of 31/01/06 not Met) 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 OP7 Good Practice Recommendations It is recommended that all care records pertinent to the delivery of care to an individual be stored in the individual care file this includes the daily record and moving and
DS0000031154.V275565.R01.S.doc Version 5.1 Page 17 Feryemount Residential Home 2 3 4 OP9 OP27 OP38 handling risk assessments. This will enable the care plan to be a working document and encourage consistency of care among all staff. It is recommended the medication policy be reviewed with the community pharmacist to arrive at best practice arrangements for PRN medication. It is recommended long term staff sickness issues are addressed to ensure consistency of the workers for people living at the home. It is recommended the registered person consult with the fire officer on the appropriateness of fire safety training in the home. Feryemount Residential Home DS0000031154.V275565.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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