Inspection on 13/02/06 for Finborough Court

This inspection was carried out on 13th February 2006.

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

Finborough Court 17/07/07

Finborough Court 11/05/06

Finborough Court 15/09/05

Finborough Court 17/03/05

Finborough Court 04/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Finborough Court Pilgrims Way Great Finborough Stowmarket Suffolk IP14 3AY Lead Inspector Joe Staines Unannounced Inspection 13th February 2006 03:00 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 Finborough Court DS0000024385.V283909.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. Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Finborough Court Address Pilgrims Way Great Finborough Stowmarket Suffolk IP14 3AY 01449 676336 01449 672408 finborough@pilgrimhomes.org.uk 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) Pilgrim Homes Mrs Lynne Durrant Care Home 22 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (4), Old age, not falling within any other of places category (22) Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 The home may care for up to 22 service users, of whom 4 may be Dementia (DE)(E), and 1 named person may be Dementia (DE). 15th September 2005 Date of last inspection Brief Description of the Service: Finborough Court is a purpose built care home for older people, which was first opened in 1994. It is able to accommodate twenty elderly people in individual rooms in the main care home. On the 11th July 2005 a variation to the home’s conditions of registration was granted, stating that The home may care for up to 22 service users, of whom 4 may be Dementia (DE) (E), and 1 named person may be Dementia (DE) (E). In addition to the twenty beds in the main care home, an additional two places are registered in the attached flats, which offer sheltered accommodation. There is an agreement with the regulatory body that these two places can offer emergency respite care when needed, to ensure continuity of care for service users occupying any of the flats, should they become unwell or unable to manage, and require a period of short term / respite care. Whilst the National Care Standards Commission had not required particular flats to be nominated in this respect, this was on the understanding that no more than two persons living in the sheltered flats would be provided with emergency respite care at any given point in time. The Service Users Guide for Finborough Court says that We welcome applications from Protestant Evangelical Christians of any denomination who are entitled to live in the UK, regardless of their ethnic origin, nationality, marital status or gender, but they must be over 65 years of age and need residential care. We are able to take care of elderly people who need to use a wheelchair and those with failing hearing and eyesight. This is reflected in the routines within the home, which includes morning prayers at 11am, and two worship services on Sunday afternoons and Monday mornings. The home is part of a larger complex managed by Pilgrim Homes, which includes sheltered flats and bungalows. It is situated in the village of Great Finborough, approximately three miles from Stowmarket. The village, although small, does have a shop / post office, pub, and two schools. Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the afternoon over a period of 2 hours. The registered manager was present throughout and was interviewed as part of the inspection process. The inspector also interviewed 4 residents and two relatives who were visiting at the time of the visit. The feedback received was consistently positive in relation to the care provided. 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. Finborough Court DS0000024385.V283909.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 Finborough Court DS0000024385.V283909.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): All of the key standards identified above were assessed as either fully met or exceeded following the last inspection in September 2005. EVIDENCE: Finborough Court DS0000024385.V283909.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): All of the key standards identified above were assessed at the last inspection of the home in September 2005, and all were either fully met or exceeded. EVIDENCE: Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 9 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): 13,14,15 Residents and their representatives can be confident that the home facilitates positive contact for residents with family members and friends, both within the home and in the local community. Residents can also be confident that the home promotes positive choice and provides residents with attractive, wholesome food in pleasant surroundings and at flexible times. EVIDENCE: The inspector was able to speak with two visitors, who stated that they were always made to feel welcome at the home. Residents also confirmed to the inspector that they were able to receive visitors of their choice either in their own rooms or in communal areas. Two of the residents interviewed stated that they often went out with their relatives, for example to take lunch. One resident, who had moved into the home from the sheltered accommodation linked to the home stated that they were glad they could maintain contact with their former neighbours. The inspector interviewed three residents in their own rooms. The rooms were personalised with pictures, ornaments and items of furniture brought by residents or provided by members of their families. The manager confirmed that they do not act as agent or appointee for any residents. The home does hold small amounts of money on behalf of residents, with appropriate records maintained and receipts kept for expenditure. Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 10 Residents stated that they were able to choose whether or not they attended activities, and were always provided with at least two choices of meals. The home had a dedicated area on the ground floor where residents could use the tea and coffee making facilities provided. Case records seen by the inspector included diet sheets for residents with specific dietary needs. An example of good practice was provided in the form of feedback from the manager. The manager reported that following observations by the home and experimentation, the home liaised with the GP of a resident with dementia and identified a positive effect of a gluten reduced diet for the resident concerned. This had been implemented with positive results. The manager also reported that at least 4 members of care staff were on duty at lunchtime with 2 of the 4 allocated to help residents with eating if required, either in the dining room or in their own bedrooms if this was where they chose to eat. Finborough Court DS0000024385.V283909.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): 18 Residents and their representatives can be confident that complaints are taken seriously, and acted upon within the appropriate timescales. In addition, the home robust procedures for preventing and responding to cases of abuse or neglect. EVIDENCE: The home had a dedicated file for recording complaints received and actions taken in response to complaints. No complaints had been received since the last inspection. Records of previous complaints demonstrated that the home does take all complaints seriously and records included detailed accounts of the actions taken in response to complaints, including copies of correspondence with complainants and other interested parties. Whistleblowing details were seen in the new staff members induction pack. Staff training had included the protection of vulnerable adults. There was information displayed in the home for service users about how to complain. Residents spoken to by the inspector all stated that they felt comfortable about their ability to make representations if they felt unhappy with any aspect of the home’s operation, and would go to a senior member of care staff, or the manager, if they had cause to complain. Finborough Court DS0000024385.V283909.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): All of the key standards identified above were assessed as either fully met or exceeded following the last inspection in September 2005. EVIDENCE: Finborough Court DS0000024385.V283909.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 Residents and their representatives can be confident that the home employs appropriately skilled staff in sufficient numbers to meet the needs of residents. EVIDENCE: The feedback obtained from residents on the day of the inspection was consistently positive regarding the numbers of staff on duty. Residents stated that care staff always responded promptly when called, by day or by night. Examination of the rota confirmed that a minimum of 3 care staff were on duty at all times during the day, with 4 the most usual level of staff, including a senior carer. Two waking night staff were employed each night, with additional senior staff providing support via an ‘on call’ system. Cover where needed in cases of annual leave and sickness was provided by known bank staff wherever possible, which was recorded. Finborough Court DS0000024385.V283909.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): 33 & 35 Residents and their representatives can be confident that the home implements a system of quality assurance, based on regular monitoring, and seeking the views of those who use the home. EVIDENCE: The records seen during the inspection included a published analysis of the last quality assurance survey undertaken in 2005. The results were published in an easy to read graph format. The results of the survey clearly indicated high satisfaction levels with the care provided by the home. The inspector examined a sample of service users financial records and these all reconciled exactly with the amounts held on the premises by the administrator. Receipts were also held at the home in respect of hairdressing services provided to individual service users. Finborough Court DS0000024385.V283909.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 16 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 Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Finborough Court DS0000024385.V283909.R01.S.doc Version 5.1 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!