Inspection on 25/09/06 for Firth House

This inspection was carried out on 25th September 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

Firth House 25/07/08

Firth House 04/09/07

Firth House 10/02/06

Firth House 18/05/05

Firth House 14/12/04

Firth House 08/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Firth House 18 Firth Mews Millgate Selby North Yorkshire YO8 3FZ Lead Inspector Brian Hallgate Key Unannounced Inspection 25th September 2006 09:30 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 Firth House DS0000007957.V312037.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. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firth House Address 18 Firth Mews Millgate Selby North Yorkshire YO8 3FZ 01757 213546 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) margaret.millin@anchor.org.uk www.anchor.org.uk Anchor Trust Margaret Meek Millin Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Firth House DS0000007957.V312037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2006 Brief Description of the Service: Firth House provides personal care and accommodation 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 it’s own dining room, with a small kitchen area attached. One large lounge on the ground floor is provided for all service users. 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. A copy of the statement of purpose is given to all people making an enquiry about a possible admission to the home. A copy of the service users guide to the home is given to prospective service users before admission or on the day of the admission. A visit is made to the home before a decision is made to move in for a six-week trial period. A copy of the latest Commission for Social Care Inspection report is available for prospective service users and relatives to read and is displayed on the notice board near the entrance to the home. The weekly fees on the date of the inspection are £500. There are additional fees for the services of a hairdresser of between £4.75 and £15 and for a chiropodist appointment of £12. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to inform this report was obtained from the information documented in previous inspections reports, a pre-inspection questionnaire completed by the Deputy Manager of the service, a site visit, completed survey forms and discussions with service users and staff. Ten survey forms were forwarded to service users and 3 were returned, seven forms sent to GPS and 5 returned and 3 survey forms were sent to care managers and 1 was returned. This unannounced inspection took place on the 25th September 2006, over a period of five and a half hours, commencing at 9.30a.m. During this time the registered manager, 4 care staff, 2 senior care staff, 2 catering staff, an administrator and 10 service users were spoken to. All service users spoken to were pleased with the care that they received within the home. A number of records were inspected including service users’ assessments, care plans, medication and health and safety information. A tour of the home was made with the registered manager and staff were observed interacting with a number of service users. What the service does well: Provides a very good quality of care to service users in a very pleasant setting where service users have their own front door with a letterbox and a bell. Service users are allowed to be as independent as they are able. Staff are available to assist service users if necessary. The staff team have developed good links with the local medical centres and other agencies. There is an open door policy and service users and staff have access to the senior staff at all times. All care plans and related documents are kept by the service users in their own rooms. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 Page 6 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. Firth House DS0000007957.V312037.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 Firth House DS0000007957.V312037.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. The assessments prior to admission are comprehensive and provide informed decisions about moving into the home. EVIDENCE: All potential service users have a comprehensive assessment completed before they are considered for admission to the home. Potential service users visit the home for a day and are encouraged to have a meal before they are admitted on a trial basis for six weeks. Reviews are then held to enable the service users to make a choice on becoming a long term resident or not. Intermediate care is not provided. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. The health needs of service users are met with good access available to specialist medical services when required. EVIDENCE: Each service user has a written plan of care. This plan is kept by individual service users in their bedrooms. The case tracking showed that all service users files checked had a plan of care for all staff to follow. The plans are reviewed as necessary and at least every month. All plans are based on an individual lifestyle agreement. The case files also had evidence of appropriate medical care being obtained for service users as required. All service users are registered with a GP and specialist services are obtained through the GPs surgery. Three service users are able to administer their own medication and appropriate storage facilities are provided in individual bedrooms. There is an appropriate medication storage system. Two trolleys containing medication are kept locked, one for the upstairs units and one for the downstairs units. The records and medication checked were in order and up to date. A comment from a professional who visits the home stated in the pre inspection survey form “My view, and the view of my colleagues is that the care given in Firth House is of a very high standard”. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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): 12, 13, 14 and 15 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. Visiting arrangements are flexible allowing service users to maintain good and regular contact with their family and friends. The dietary needs of service users are well met with a varied menu that offers choices. EVIDENCE: A number of activities are arranged both within the home and in the community. The activities include music to movement, dominoes, skittles, bingo, flower arranging, manicures, pie and pea suppers and evening entertainment. Visits to places of interest are arranged and some service users attend the Flag Club and Selby Vision. The weekly activity sheet is displayed on notice boards throughout the home. No service user attends church in the community. Those who wish attend a monthly Communion service held within the home. Service users stated that they were able to make choices in their daily lives and that the routine within the home was flexible to allow them to do this. Many service users stated that they preferred to spend their time within their own rooms and had no wish to become involved in any activities. Choices are available at each mealtime and all service users spoken to commented that the food was “very good indeed”. The cook undertakes home baking on the premises. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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): 16 and 18 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. There are satisfactory complaints and abuse policies and staff showed they were aware of the correct action to take if a complaint or abuse situation was observed. EVIDENCE: No complaints have been made to the Commission for Social Care Inspection since the last inspection. Three complaints have been made direct to the home and all were upheld. Staff spoken to were fully aware of what action to take if an adult abuse situation occurred. Service users stated that they were aware of how to make a complaint. Forms were clearly visible on the reception desk next to the entrance for people to complete if they had a complaint. The home has an up to date policy and procedure in the event of a suspected case of abuse. All staff spoken to were fully aware of what action to take if they suspected a case of abuse had occurred. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. The standard of the environment within this home is good providing service users with an attractive and homely place in which to live. EVIDENCE: The home is purpose build and has two units on the ground floor and two units of the first floor. The home is clean, pleasant and hygienic. All service users spoken to stated that they were very happy with their own accommodation. Some service users prefer to spend most of their time in their own rooms. All rooms have their own letterbox and doorbell. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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, 28, 29 and 30 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles and completing appropriate training before progressing to NVQ Level 2 awards in care. EVIDENCE: The duty rota showed that there were sufficient staff to meet the needs of the present service users throughout both day and night time. There is a staff training and development plan. Staff have undertaken training in NVQ Level 2 and 3 in care, first aid, death and dying, nutrition, medication, food hygiene, induction, POVA, rights and responsibilities, fire prevention, health and safety and back care. A number of employment records were checked and the files contained the appropriate employment checks before new members of staff are employed. All staff spoken to were enthusiastic and knew the needs of the service users. A key worker system operates and staff are usually based in the same unit on each shift, which enables them to really get to know individuals within the units. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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, 33, 35 and 38 Quality in this outcome group is good. This judgement has been made using available evidence including a site visit. The home is managed in an open and inclusive manner by the present registered manager who enjoys the support of the service users’ and the staff. EVIDENCE: The registered manager is experienced and qualified in the care of older people. She has completed her Registered Managers Award. Both service users and staff spoke highly of the support received from the registered manager. Service users who are able manage their own finances. The home does keep some money for safe keeping for a number of service users. The records checked were in order and up to date. The health and safety records checked showed that the necessary checks had been made and the appropriate records kept up to date. Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 Firth House DS0000007957.V312037.R01.S.doc Version 5.2 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 Firth House DS0000007957.V312037.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection York Area Office 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 DS0000007957.V312037.R01.S.doc Version 5.2 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!