Inspection on 27/06/05 for Fontburn Court (7)

This inspection was carried out on 27th June 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fontburn Court (7) 21/11/06

Fontburn Court (7) 17/01/06

Fontburn Court (7) 14/12/04

Fontburn Court (7) 06/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Fontburn Court (7) Witherwack Sunderland SR5 5SP Lead Inspector Lee Bennett Unannounced Monday 27 June 2005 at 11:00 am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fontburn Court (7) Address Witherwack Sunderland SR5 5SP 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) 0191 5535540 0191 5535540 Council of City of Sunderland Mrs Linda Margaret Gibson Care Home 6 Category(ies) of LD - Learning Disabilty (3) registration, with number LD(E) Learning Disability over 65 (3) of places Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 December 2005 Brief Description of the Service: Fontburn Court is care home, providing personal care for up to 6 people with a learning disability. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is a purpose built bungalow with level access to all of the accommodation. The home is suitable for people with a physical disability or frailty. There is an enclosed garden to the rear of the home. The home is situated in a suburb of Sunderland, and is a bus ride or car journey away from central Sunderland. The home is near to local public transport links and local facilities, such as a doctors surgery, pubs and places of worship. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 hours, 20 minutes during the morning and early afternoon, and was a scheduled unannounced inspection. A tour of the building took place (with some service user’s showing the inspector their own rooms), and a sample of service users’ records was inspected. The inspector was able to chat with some of the service users, and a visitor, and observed life in the home. Medication storage facilities and administration records were inspected. The judgements made are based on the evidence available to the inspector on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: One service user is at high risk of falls, and a referral has been made to seek the input of an Occupational Therapist with a view to obtaining adapted furnishings. This must include a new bedroom chair as the current one is not Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 6 suitable. This service user’s wardrobe must also be secured to the wall to ensure it does not topple over if held onto by this person. A risk assessment has been developed for the use of bed rails (sometimes known as ‘cot-sides’), but this would benefit from further detail, particularly in respect of checking and maintenance arrangements. 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. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3. Each service user’s care needs are assessed prior to their move to the home, and periodically thereafter. This will help ensure that each service user’s needs are met at the home and inappropriate admissions avoided. Service users’ personal and social needs are met at the home. EVIDENCE: Each service user has a care managers’ (social workers’) assessment undertaken prior to their admission to the home. This details each service users’ abilities and needs. Staff in the home also complete periodic reassessments, which outline each service users’ personal care, health care, social and psychological needs. From these assessments, plans of care are then developed to guide the practice of staff, which is then translated into the way in which staff deliver care. The evidence outlined within service users’ care plans and their progress notes, along with the Inspector’s observations, indicated that the service is able to meet their needs. Staff have received training relevant to learning disabilities and general care topics, such as, medication awareness, manual handling, and so on. Additional advice and guidance can also be sought from visiting professionals, such as the district nurse, for pressure care and diabetes awareness, and the Occupational Therapist, for manual handling issues. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 and 9. Service users assessed needs are reflected within their individual plans of care, but some observed areas of need, such as pressure care / tissue viability, would benefit from care planning. Clear care plans help identify needs and provide guidance for consistent care practice. Service users are consulted about and participate in the running of the home, and in care planning, which can contribute to their personal autonomy and choice. Service users are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. EVIDENCE: Each service user has a personalised care plan file, developed by their key worker, that covers a broad range of need areas. These are linked to regular monitoring of areas such as epilepsy, personal care, diet, weight and activities, and are then periodically reviewed and subsequently updated. A summary overview has been developed, to offer a pen picture of each service user and their needs. Individual care plans are then developed to guide the practice of staff. This documentation highlights each service users’ abilities, strengths, Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 10 and preferences, as well as areas of need. Staff are also able to comment on and describe service users’ strengths, abilities and needs. Some observed care needs, such as pressure care did not have corresponding plans of care to guide staffs care practice. Other evidence was in place to demonstrate staffs care practice, but formal care plans can contribute to consistency of care practice and should be developed. This is a recommendation of this report. Areas of risk are also documented within each service users’ care file to identify areas of risk, who or what may be at harm, current and additional control measures, and review arrangements. Risk assessments relate to activities and risks that may occur both outside and within the home, and relate to the activities undertaken by service users and the equipment available in the home. Staff involve and encourage service users in decision making within the home, and in care planning arrangements. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 16 Service users are assisted to lead active and fulfilling lifestyles by having a regular community presence and by accessing a range of community facilities. This will assist in them leading a full and enjoyable life. Service users rights are respected, and routines in the home are flexible. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. EVIDENCE: On the day of the inspection, some service users were supported, by staff, to access various community services and facilities, another had a family member visit her. A minibus is available to assist with service users’ mobility. Activities undertaken are documented within each service users’ care file. Service users have also participated in periodic holidays, and two have been to the Lake District recently. Each service users’ choices and preferences regarding activities and occupation are outlined within their care plan file. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Service users receive personal support appropriate to their needs and preferences, which can help to ensure their privacy and dignity is respected. Service users health care needs are identified and arrangements are made to help ensure they are promoted and met. This contributes to service users health and wellbeing. Medication arrangements are appropriate for the needs of service users, and are managed in a safe manner. EVIDENCE: The service users living at Fontburn Court have their personal care needs outlined within their care planning files. Their needs are supported and met, where appropriate, in private, and they are encouraged to cater for their own needs where possible. Specialist support and aids (such as manual handling and pressure relieving aids) have been sought and maintained where necessary, and care staff are able to demonstrate a good understanding of service users’ needs. On the day of the inspection, a visiting District Nurse was attending to a service user. The manager has also sought additional input from an Occupational Therapist. The outcome of health care input is recorded within each service users’ care file. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 13 Locked storage has been installed for service users’ medications, with internal and external medicines storage separated at the time of the inspection. Printed administration records are kept, and a sample signature list is maintained to identify which staff are responsible for each medication administration. Due to their levels of need, service users are not able to administer their own medicines, and designated staff therefore assist in this area. Staff at the home have undergone training in relation to medication administration. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users views are acknowledged and acted upon, through the use of an accessible complaints process. This can contribute to service users’ concerns being identified and resolved. EVIDENCE: A record of all complaints made by service users (and others) is kept in the home. Where the input of other professionals has been required (such as social workers) this has been arranged. Complaints are also overseen and monitored by a Complaints Officer based within Social Services. There have been no complaints referred to CSCI for investigation. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30. Service users benefit from well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are furnished to a good standard. This can contribute to their comfort during their stay at the home. Aids and adaptations have been provided to promote service users’ independence and safety, but new equipment is required for a service user with mobility related needs. EVIDENCE: Fontburn Court is a purpose built bungalow, and provides level access throughout. Communal areas consist of a lounge and a separate dining room. Domestic style furnishings and fittings are provided, and adaptations, such as ceiling tracking, a hoist, grab rails and an adapted bath, have been installed in communal / bathing areas and service users’ own bedrooms. One service user who is at high risk of falls, and who has difficulty in getting up from items of furniture, has had their bedroom chair replaced as an interim Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 16 measure, and a referral made to an Occupational Therapist for a reassessment of his needs. Adapted furnishings, such as a new easy chair and dining chair that can assist staff to support the service user to ‘sit-in’ at the table must be obtained following this assessment, which needs to be progressed as a matter of priority. This is a requirement of this report. Bedrooms have been decorated and furnished in line with each service users’ personal tastes. All of the bedroom exceed 12 square meters in size, although non have en-suite facilities. A regular, planned cycle of cleaning is implemented. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35. Service users are supported by an effective staff team, who have received training relevant to their roles and the purpose of the home. This can ensure that service users are supported in a safe manner by staff who have an understanding of service users needs. EVIDENCE: On the day of the inspection there was a minimum of three support staff on duty, dropping to two during the evening. A member of staff is available through the night on a sleep-in basis. As service users’ needs change, this needs to be kept under review to ensure staffing levels remain adequate. Staff receive a broad range of training, relevant to the needs of service users, health and safety, and to care in general. The manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42. The home is safe and generally free from hazards to service users. EVIDENCE: At the time of the inspection, there were no observed hazards, with the exception of a wardrobe that needs to be secured in one service user’s bedroom, and the need for adapted furnishings for the same person. Risk assessments have been developed for various pieces of equipment used and activities undertaken, including an assessment for the use of bed rails. This must be kept under review, and advice was provided at the time of the inspection on the need to include maintenance and checking arrangements within this assessment. Further guidance is available within the Medical Devises Agency publication, ‘Guidance on the Safe Use of Bed Rails’. This is a recommendation of this report. The appropriateness of this equipment has been independently assessed by an Occupational Therapist. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x 2 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fontburn Court (7) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 20 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 YA29 Regulation 16(2)(c) Requirement The registered manager must, following an assessment made by an Occupational Therapist, arrange for the provision of adapted furnishings to meet service users needs. Timescale for action 11/10/05 2. 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 YA6 YA42 Good Practice Recommendations The registered manager should further develop care planning guidance in relation to the tissue viability / pressure care needs of a specific service user. The registered manager should update the bed rails risk assessment to include maintenance and checking arrangements, linked to the homes health and safety audit. Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne & Wear NE34 9PT 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 Fontburn Court (7) B52-B02 S32736 Fontburn COurt V220758 270605 Stage 4.doc Version 1.40 Page 22 - 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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