CARE HOMES FOR OLDER PEOPLE
Firth House 18 Firth Mews Millgate Selby YO8 3FZ Lead Inspector
Irene Ward Unannounced 18 May 2005 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Firth House Address 18 Firth Mews Millgate Selby YO8 3FZ 01757 213546 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Anchor Trust Margaret Meek Millin Care home only 40 Category(ies) of OP Old age registration, with number of places Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 14/12/04 Brief Description of the Service: Firth House provides personal care and accomodation for up to 40 older people.The home is a purpose built two-storey property set in its own gardens near to the town centre of Selby. There is parking to the front of the home. The home is divided into four small living units,two on the ground floor and two on the first floor. Each unit has its own dinning room. A small kichen is attatched to the dinning area. One large lounge is provided for all service users on the ground floor. There are four bathrooms and one shower room. All service users have a single en-suite room. The home is situated in a quite residential area and is in walking distance of shops and community facilities. . Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection carried out on the 18th May 2005, which started at 09.00hrs and finished at 15.00hrs. A tour of the home was carried out which included service users’ private accommodation, a selection of records were looked at and time was spent observing activity in the home, talking and listening to service users and staff. The focus of the inspection was a number of key standards, inspecting the care records of six service users in detail to establish if they corresponded with the service users’ experiences in the home. There were also discussions with care staff and the Deputy Manager of the home. What the service does well: What has improved since the last inspection?
Staff recruitment procedure has been improved and all the required checks are now obtained prior to any staff commencing work at the home. This helps to protect service users. The information provided to service users regarding the service has been updated and details all the required information about the home. This gives service users opportunities in making informed choices about whether the home may meet their needs. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 6 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. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 and 6 Prospective service users have good opportunities to ensure their needs can be met by the home before deciding to live there. EVIDENCE: Pre-admission assessment forms are completed prior to any admission into the home. The information held on service users files was comprehensive and gave a good indication of the care needs of the prospective service user. Service users who had not lived at the home for very long confirmed that they had received information about the home, and the service provided, prior to coming to look round the home. The Deputy Manager stated that they offered no form of intermediate care. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 9 Service users health care needs are well met. EVIDENCE: Each of the six service users case files inspected, including the most recent service users admitted, contained informative and detailed care plan. Risk assessments had been completed, which covered aspects of daily living. Care plans had been regularly reviewed. Service users who are able to self-medicate are provided with lockable facilities in their own rooms. For service users who are unable to self-medicate the home operates a monitored dosage system, which was inspected on two units. Medication was appropriately stored and records were accurately maintained. Staff who administer medication have all received appropriate training. During the morning a senior staff member took a service user to a doctor’s appointment. The service users’ relatives commented on how important it was to them, that a senior staff member was able to take the time to do this as they were concerned about their mothers health and that the necessary information was then passed on to them. Observations made during the day were that staff respect service users’ privacy at all times. Service users commented, “Staff are very good with confused residents and are always caring”.
Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 standard(s) Service users receive good, wholesome and nutritional food. EVIDENCE: 15 Mealtimes at Firth House are flexible. Choices are available each mealtime and all service users commented that the food at the home was “ very good indeed”. Plenty of fresh fruit is available daily and offered to service users. Menus seen had plenty of variety on offer. The homes cook regularly bakes cakes, scones etc on the premises. Staff were observed helping service users who needed assistance in a respectful manner. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Service users are clear and confident that their complaints and concerns are listened to and acted upon. EVIDENCE: The home and The Commission For Social Care Inspection have received no complaints. Service users commented that if they had a complaint ,they would speak directly with staff on duty. It would then be acted upon. Service users were also confident that things would be put right by senior management. The homes complaints procedure is made available to service users and visitors to the home. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 standard(s) 19 and 26 The home provides service users with a clean, comfortable and homely place to live. EVIDENCE: The home is a large purpose built home with four units on the ground floor and first floor, with a passenger lift to enable service users to access all areas. There is a large reception area that was welcoming with seating areas for service users or visitors. There are 10 bedrooms with en-suite facilities on each unit. There is also a dinning room with kitchen area on each unit and bathroom/shower facilities on each floor. There is a large communal lounge for service users, which is well used during the day, as quite a number of service users enjoy getting together to play dominoes and attend other activities arranged. The home is decorated to a good standard and was clean and tidy throughout. There were no offensive odours present. Service users made comments such as “staff keep the home immaculately clean and tidy” and “nothing is to much trouble for them”.
Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 29 The home’s vigorous recruitment procedures help to protect service users. EVIDENCE: Staff records showed that the home’s management, undertake thorough checks before staff commence working at the home. CRB checks have been carried out and staff have been checked against the POVA first list. All staff complete application forms and health questionnaires. Two written references are obtained. Records of interviews are also held on staff files. Terms and Conditions of Employment are given to staff. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33 and 38 Service users health, safety and welfare are promoted within the home. EVIDENCE: Throughout the day from the discussions held with service users and staff and through observations, Firth House is well managed with a committed staff team. The emphasis continues to be, that the home is run in the best interests of the service users living there. A number of health and safety records were inspected all of which were up to date and accurately maintained. No recommendations or requirements were made at this visit. Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x x x 3 Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 16 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation NONE 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. 1. Refer to Standard NONE Good Practice Recommendations Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Unit 4 Triune Court Monks Cross YORK YO32 9GZ 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 Firth House J53-J04 S7957 Firth House V226142 180505 Stage 4.doc Version 1.30 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!
