Inspection on 16/03/07 for Firwood House

This inspection was carried out on 16th March 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

Firwood House 20/06/07

Firwood House 03/02/06

Firwood House 21/09/05

Firwood House 03/11/04

Firwood House 04/06/04

Firwood House 11/02/04

Similar services:

Chirnside House

Emmaus House

East Croft Grange

Craignair

Croston Park Nursing Home

Conifers Nursing Home

Cloisters

Elmsdene Care Home

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

CARE HOMES FOR OLDER PEOPLE Firwood House Crompton Way Bolton BL2 2PE Lead Inspector Sarah Tomlinson Unannounced Inspection 16th March 2007 07:45 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 Firwood House DS0000030981.V312833.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. Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firwood House Address Crompton Way Bolton BL2 2PE 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) 01204 337770 01204 337772 alan.kirk@bolton.gov.uk Bolton Metropolitan Borough Council Alan James Kirk Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 27 service-users to include: *Up to 27 service-users in the category of DE (E) (Dementia over 65 years of age). 3rd February 2006 Date of last inspection Brief Description of the Service: Firwood House is owned by Bolton Council and is run by their Social Services department. It provides specialist care for older people with confusion (personal care only). Up to 27 people can live there. At this time the home has 3 long stay places. However, the home is now, and will in the future only be admitting people with dementia care problems for short stay and respite care, with some emergency beds also available. The home also provides a day care service from Monday to Friday of each week. Firwood House is in a residential area of Bolton, off Crompton Way. It is close to bus services with shops and pubs nearby. The building is on two floors with a passenger lift and there are 27 single bedrooms. The home has five small lounge/dining rooms and there is also a large, central dining area. The building is surrounded by gardens and there is parking to the rear (accessed via Tintern Avenue/Glaisdale Close). Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspection visit (which the home had not been told about beforehand) had been planned for 16th March 2007. However, when we arrived we were unable to go in as the home was closed to admissions/discharges/visitors due to an outbreak of vomiting and diarrhoea (the home had apparently told us about this, but we had not received the information). The two things the home had to do after the last time we visited have been done – the acting manager (Mr Alan Kirk) has been approved by us as the new Registered Manager and the home has updated its registration with us to show that all its places were now for older people with confusion. However, we have recently been told that from 10th April 2007, Mr Kirk is to be replaced by a new manager, Mr Rob Rimmer. 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. The summary of this inspection report can Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Firwood House DS0000030981.V312833.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 Firwood House DS0000030981.V312833.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): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: Since the last inspection the home had updated its registration to show that all 27 places provided were for older people with confusion. Due to the home temporarily not accepting any new admissions, the current occupancy level was low (15 residents). Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: Since the last inspection the home had experienced two outbreaks of the NORO virus (the first in April 2006, the subsequent and current one began on 1st March 2007). The NORO virus results in vomiting and diarrhoea in those affected. The home had followed advice from Bolton PCT Infection Control service and was currently closed to admissions and discharges. Staff and residents must be clear of infection for 48 hours and the home thoroughly cleaned (including steam cleaning of all carpets) before it is able to re-open. Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: At the present time, no complaints had been made to CSCI or to the home. Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: Good practice was noted as the home was intending to steam clean (rather than just shampoo) all carpets before re-opening (to properly remove all traces of the NORO virus). Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: The home had confirmed extra care staff were working to support residents who were unwell with the NORO virus and extra domestic staff were working to carry out frequent cleaning of communal areas (e.g. disinfecting door handles, hand rails, toilets at least every two hours). From information provided by the home’s manager, good practice was noted as 71 of care staff had NVQ level 2 or above. Further good practice was noted, as staff turnover was low, with only three new carers starting since the last inspection. We understand that following redeployment within Bolton MBC older people’s services, new staff will be shortly joining Firwood House. Firwood House DS0000030981.V312833.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. JUDGEMENT – we looked at outcomes for the following standard(s): As we were unable to gain access to the home, none of the above standards could be checked and a judgement could not be made. EVIDENCE: The home had been without a permanent manager since January 2004. Following his successful application, the acting manager, Mr Alan Kirk had been confirmed as the new Registered Manager on 30th October 2006. However, the home is to experience further change, as Mr Rob Rimmer (currently a manager at another Bolton MBC older people’s home) was to replace Mr Kirk from 10th April 2007. Once in post, Mr Rimmer will need to make a formal application to us to become the new Registered Manager for Firwood House. The home may wish to send a letter to residents and their families to update them of the Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 15 forthcoming staff changes (whilst waiting for the Service User’s Guide to be formally updated). From information provided by the home’s manager, up to date safety checks had been carried out on the gas boiler, fire equipment, hoists and hot water temperatures. Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 16 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 X 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 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 17 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 Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Firwood House DS0000030981.V312833.R01.S.doc Version 5.2 Page 19 - 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!