Inspection on 27/03/06 for Flowerdown House

This inspection was carried out on 27th March 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 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

Flowerdown House 13/03/08

Flowerdown House 20/02/07

Flowerdown House 04/08/05

Flowerdown House 05/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Flowerdown House 55 Beach Road Weston Super Mare North Somerset BS23 1BH Lead Inspector Patricia Hellier Unannounced Inspection 27th March 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 Flowerdown House DS0000033678.V285545.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. Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Flowerdown House Address 55 Beach Road Weston Super Mare North Somerset BS23 1BH 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) 01934 621664 01934 420111 The Royal Air Forces Association To be appointed Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8), Physical disability (8) of places Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Younger adults falling in to other categories may be accommodated subject to the prior agreement of the Inspector. Only rooms with level access to be used for residential care. Rooms 17 and 3 only to be used by wheelchair users. Rooms 1,2,3 14,18,19 and 20 can be used as single or double rooms for family members or people who actively request to share together. May accommodate people, aged 40 years and over, with a physical disability. 4th August 2005 3. Date of last inspection Brief Description of the Service: Flowerdown House is owned and managed by the Royal Air Forces Association. RAFA and the Royal Air Force Benevolent Fund work closely together to offer holiday and respite breaks to RAF personnel and their relatives. Only a small proportion of these guests receive personal care. The majority of the guests, who require personal care, are older people. Younger adults, falling into other categories may be accommodated subject to the prior agreement of the CSCI. The registered manager of Flowerdown House has recently left and they are waiting to appoint a new manager. Mrs Tricia Freer, Welfare Director for RAFA is responsible individual for the organisation. Flowerdown House is situated on the sea front at Weston Super Mare. The property dates from the turn of the century, and has been converted to provide spacious hotel style accommodation. Guests who require personal care are accommodated in designated rooms. These have level access good adaptations and a call bell system. Flowerdown House DS0000033678.V285545.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 over three hours on 27th March 2006. There is currently no registered manager, however the ‘caretaker’ manager was present during the inspection. All residents and members of staff on duty also took part in the inspection. It focused on talking with residents about their quality of life and observing interactions between staff and residents. The inspector also sampled some of the care, medications and health and safety records. 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. Flowerdown House DS0000033678.V285545.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 Flowerdown House DS0000033678.V285545.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 The home ensures that it can meet residents’ needs prior to admission EVIDENCE: Self-assessment forms for all residents were seen. The inspector was told that the welfare officer then visits the prospective resident, to clarify the assessment and ensure that the home can meet their needs. Discussion is also had with the prospective resident’s spouse or carer to ascertain needs. Contact is not made with other professionals providing care for the prospective resident when at home. This is recommended as good practice to ensure all prospective residents needs are identified and can be met. All residents spoken with said their needs were well met. Flowerdown House DS0000033678.V285545.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): 7,9 Residents’ personal and social needs are met with careful attention to detail. The systems for the receipt, monitoring and administration of medicines, were not fully inspected, as there were no residents with medication at the time of the inspection. EVIDENCE: Individual records are kept for each of the residents and inspection of the records for three residents contained care plans that clearly identified health and social care needs and actions to meet these needs. Residents spoken to confirmed the staff were well aware of their needs and did everything to meet them. For example one resident said ‘they notice when you are unwell and come and help you’. Another resident said ‘they are absolutely lovely and I would always come back here.’ Facilities for the storage of medicines were seen to be secure. Many residents self medicate, keeping the medication in a locked cabinet in their room, which is also locked. The agency manager said that Medication Administration Records (MAR sheets) had been implemented for use with medication administration. These were not seen in use however as there were no residents receiving medication from the staff. The systems for the receipt and disposal of medication were not inspected on this occasion. Flowerdown House DS0000033678.V285545.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): These standards were not assessed at this inspection. EVIDENCE: Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 10 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): 16,18 Residents are confident that they are listened to and their requests acted upon. Residents are protected from abuse by knowledgeable and competent staff EVIDENCE: The home has a detailed complaints procedure that is displayed in the hall together with a suggestions box. All residents are given a copy of the’ Complaints, Concerns and Suggestions’ leaflet. Residents stated that if they were not happy about anything they would speak to the manager. Staff and residents spoken to, say ‘the manager is very approachable and understanding’. One resident said ‘I’ve nothing to complain about it’s the best.’ ‘I come here every year’. The home has a copy of the North Somerset ‘No Secrets’ guide and a Whislteblowing policy. A procedure for responding to allegations of abuse is available and staff were fully aware of it. Staff said they had never seen any signs of abuse in the home and demonstrated a good understanding of what forms abuse can take. All residents said ‘the staff are very kind and take time, you can’t fault them’. Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 11 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): 19,26 Residents are provided with safe, homely and comfortable surroundings. The home has suitable equipment to maximise resident independence. Robust Infection control practices are followed. EVIDENCE: The property is well maintained, with homely and comfortable communal spaces. The living accommodation is well decorated and homely. Residents’ rooms are comfortable, well decorated and have electric profile beds and other aids as required by the resident during their stay. The home has a large number of aids and adaptations for use by residents during their stay. A maintenance plan was seen which evidenced the ongoing routine maintenance and renewal of the fabric for the benefit of residents. The home has grab rails situated at relevant points and a shaft lift that is easily used to assist resident mobility and aid independence within the home. The home was clean and free from offensive odours throughout. Staff interviewed and observed demonstrated good understanding of Infection control procedures and practices and maintained a clean and hygienic environment. Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 12 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): 27,30 The numbers and skill mix of competent staff are sufficient to meet residents’ needs. A motivated and competent staff team cares for residents. Training is provided in a variety of topics to ensure competent staff. EVIDENCE: The personal care needs of the guests vary enormously from week to week. Sufficient care staff are provided to meet the needs of up to 8 guests who require personal care. Residents spoken to said that the staff were kind and caring and always there to help. During the visit staff were observed spending time with residents. There are also domestic and kitchen staff who are part of the close teamwork to ensure the residents’ needs are catered for. Mandatory training in Health and Safety, Fire and Moving and Handling is provided annually to ensure current best practice guidelines are followed. Other specific training in relation to residents’ needs is also provided, and staff are encouraged to undertake their NVQ training. This ensures staff are competent to meet residents needs. Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 13 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): 31,32,38 The agency manager gives leadership as able within the current circumstances. A consistently safe environment is maintained for the good of residents. EVIDENCE: The registered manager left at the beginning of January and a new manager has yet to be appointed. An agency manager and the deputy manager are maintaining the running of the home during this transitional period. Residents feel the manager is approachable, available and seeks to ensure all their needs are met. Records inspected indicated regular safety and fire checks are carried out. Staff spoken to confirmed that regular fire instruction and drills had taken place. Staff interviewed demonstrated a good knowledge of Health and Safety principles and practices. Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 14 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 3 8 X 9 3 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 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 2 X X X X X 3 Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 15 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 OP31 Regulation 9 Requirement A registered manager should be appointed to manage the home. Timescale for action 27/05/06 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. 2 Refer to Standard OP3 OP26 Good Practice Recommendations Other professionals that provide care for prospective residents, at home, are contacted as part of the assessment of needs. To ensure all needs can be met. The use of yellow clinical waste bags in the bins in resident’s rooms Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Flowerdown House DS0000033678.V285545.R01.S.doc Version 5.1 Page 17 - 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. 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