Inspection on 15/11/06 for Fordlands Road (1) Residential Elderly Persons Home CYC

This inspection was carried out on 15th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Fordlands Road (1) Residential... 13/10/08

Fordlands Road (1) Residential... 05/01/06

Fordlands Road (1) Residential... 21/07/05

Fordlands Road (1) Residential... 03/02/05

Fordlands Road (1) Residential... 02/07/04

Fordlands Road (1) Residential... 25/04/03

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 Fordlands Road (1) Residential Elderly Persons Home CYC 1 Fordlands Road Fulford York North Yorkshire YO19 4QT Lead Inspector Donna Burnett Key Unannounced Inspection 15th November 2006 09:15 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 Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.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. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fordlands Road (1) Residential Elderly Persons Home CYC 1 Fordlands Road Fulford York North Yorkshire YO19 4QT 01904 630048 01904 613892 Address 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) City of York Council Mrs Maureen Carr Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: 1 Fordlands Road is a care home run by City of York Council. It is registered to provide a service for 31 older people, of either gender aged over 65 years, who do not have any specialist requirements. The home is situated in Fulford within easy access of the local village amenities. There is a large parking area to the front of the home with garden areas to three sides. The accommodation is provided on two floors. The upper floor is accessible via vertical passenger lift and there are two staircases. Bedrooms are not en-suite but do have sinks and vanity units. The accommodation is arranged in separate wings with a large communal sitting room. Each wing has its own bedrooms, kitchenette, sitting/dining areas, bathroom and toilets. All the bathrooms have assisted bathing facilities. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit to the home, the registered manager completed and returned a questionnaire, which gave details about the home and its staff and was used to help plan the inspection. Eight relatives were sent comment cards as were a number of health care professionals in order to get their views of the service. Their comments are included in the main body of the report. One inspector spent three hours preparing for the visit and spent five hours at the home. Time was spent talking with people living at the home, the registered manager, support assistant, members of staff and a regular visitor. Observations were made of the day-to-day running of the home to try and see what it was like to live there. A number of records were looked at to make sure that people were being properly and safely cared for. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made following the last inspection. The home continues to put the needs of the service users first and provides a good standard of care. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.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 Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.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): 3 & 6. Quality in this outcome area is good. People who choose to live at the home have their needs identified and planned for before admission. Staff are aware of the needs of each person new to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three service users were looked at. Prior to admission to the home they were visited and assessed by a community care manager. Admissions only take place once the manager is confident that the staff can meet individual care needs. Each service user has a key worker who takes a special interest in them. Prospective service users and their families can spend time at the home talking to people who live there and meeting the staff. This allows them to make their own minds up about whether or not this is where they want to live. After a sixweek trial period, a review is held to decide if the placement is to be permanent. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 9 Admission documents provide good information and include a copy of the care management assessment. The many needs of service users are identified and the information made available to staff so they can understand the social, personal and emotional needs of people who use the service and know what help to give. Standard 6 was not looked at as the home does not offer an intermediate care service. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 10 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): 7, 8, 9, 10 &11. Quality in this outcome area is excellent. Service users get the care they need and are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users’ plans explain clearly what care and help is needed. Plans are regularly looked at and updated to take into account any changes. Service users choose how their personal care is delivered and are encouraged to make choices. Those who wish to remain independent are helped to do so safely. One service user who was spoken with was ‘very happy here’ and said that staff ‘look after me well’. The home has a good relationship with, and good access to, a variety of health and social care professionals. This means that service users get the help and care they need and are entitled to. One health care professional who returned a comment card finds the staff ‘very helpful’. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 11 Medicines kept by the home are stored safely and accurate records are kept. Medication is administered using a system that is supported, and closely monitored by, a pharmacist. The chances of errors occurring and service users coming to harm are very low due to good, safe working practices. Service users can meet visitors in private. A number of people have telephones in their bedrooms but there is also a pay ‘phone which can be used without being overheard. The home has a number of small sitting areas where service users can enjoy peace and quiet without having to go to their bedrooms. The home can care for service users who are near the end of their life but who do not require hospital admission or specialist care that cannot be brought into the home. A visitor to the home during the inspection spoke of the high level of respect that staff show to both service users and their families at such times. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14 & 15. Quality in this outcome area is excellent. Service users are offered a variety of stimulating and interesting activities. They enjoy meals which are nutritious and varied. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A wide variety of activities and social events take place both within the home and in the local community. Holy communion is brought into the home for people who wish to take it and religious needs are respected. Transport is available for service users who choose to meet with other members of the community or attend Church. The home welcomes a variety of visitors who spend time with service users and provide social stimulation and activity for those who want it. Service users spoken with confirmed that there is always ‘lots going on, if you want to join in’. Individual rooms looked in were personal and there was evidence throughout the inspection that service users were being given choice about matters important to them, including how the home is run. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 13 Service users enjoy their meals in small, personal dining areas. They have access to tea and coffee making facilities throughout the day. Most of the food is bought locally using fresh produce and the hospital supplies a small amount of ‘cook chill’ food if required. Vegetarians and other people with special dietary needs are catered for. Service users choose what they want to eat and those spoken to were complimentary about the quality and choice of food on offer. The meal observed during the inspection was nicely presented and everyone said they enjoyed it. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 14 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): 16 & 18. Quality in this outcome area is good. Service users are protected from harm. Any suggestions or concerns raised are listened to and taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not received any complaints since the last inspection. The manager keeps a record of comments and suggestions and is quick to respond and make the necessary changes to benefit the people living at the home. Service users confirmed that they are able to speak to the manager about any concerns they might have and know that they are listened to and taken seriously. All service users spoken with during the inspection stated that they had ‘nothing to complain about’. Relatives who returned comment cards had never had reason to complain. The City of York Council has various policies and procedures intended to protect service users. They are updated regularly and available for staff to refer to so that they know what to do if they suspect someone is being harmed. The home employs staff that have been checked as suitable to work with vulnerable people. The staff have recently had training on how to recognise and report abusive behaviour which could be harmful to service users. The manager deals with potentially harmful and abusive situations well and in the best interest of everyone living at the home. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 15 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): 19 & 26. Quality in this outcome area is good. Service users live in a safe, comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is spacious, easy to get around and is suitable for people with mobility, eyesight and hearing problems. Service users can get in and out of the building easily and have access to a secure, enclosed courtyard. Workmen were carrying out minor repairs during the inspection and voluntary workers were tidying up the grounds to make them safe and more pleasant to look at. The home is subject to inspections from the fire and environmental health departments. Records showed that necessary improvements had been made in order to comply with the various health and safety laws and to keep service users from harm. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 16 The accommodation is arranged in separate wings with a large communal sitting room. Each wing has its own bedrooms, kitchenette, sitting/dining areas, bathroom and toilets. All the bathrooms have assisted bathing facilities so that service users can be helped safely. There are additional sitting areas around the home where service users can get away from others without having to go to their bedrooms. The home has a speech intercom facility which allows service users to speak to staff as well as calling them via the call bell system. Bedrooms do not have en-suite facilities but all have a sink and vanity unit so that service users can get washed in the privacy of their own room. Service users bedrooms contain a lot of their own personal possessions, which helps them to treat the home as their own. The home was free from offensive smells for the duration of the inspection and made the environment pleasant. A regular visitor who was spoken with commented that this was always the case. The home is clean and well maintained with a homely feel about it. There is a good sized laundry, capable of dealing with large amounts of washing. The machines are able to disinfect soiled laundry so as to avoid the spread of infection. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 17 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): 27, 28, 29 & 30. Quality in this outcome area is good. The home employs enough, skilled staff to be able to meet the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One relative who returned a comment card felt that ‘some days’ the home is ‘extremely short staffed.’ A further three respondents felt there was often insufficient staff on duty. Only two relatives who returned comment cards felt there was sufficient staff on duty. One service user who was spoken with commented that there did not always seem to be enough staff, whilst another person said that there was ‘somebody around all the time’. The layout of the home means that for service users and visitors it is not always possible to see who is on duty at any one time. In discussion with service users it was confirmed that when help is asked for, they get it without delay. Relatives and other professionals who returned comment cards feel that people get the care they need, when they want it. The home appeared to be sufficiently staffed on the day of the inspection and people were getting the help and care they required. A number of staff had come on duty at short notice to cover for sickness. The home does not use agency staff so that the same, regular team always cares for service users. One relative commented that ‘the staff do an excellent job’. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 18 Members of staff spoken with during the inspection seemed settled in their job and enjoyed working at the home. They spoke about being ‘part of a team’ and ‘all getting on well together’. This has a positive effect on service users in that they are cared for by a content staff team who have their best interests in mind. The home employs a high number of staff with recognised qualifications in care. This means that service users are cared for by people who have been suitably trained. Four staff files were looked at. The manager recruits people well; she makes sure they are suitable to work with vulnerable people and do not have a criminal record. New staff have induction training which covers essential care skills such as people handling, fire awareness, food hygiene and infection control. A record is kept of all staff training. There has been recent training to make sure that staff are up to date in the skills and knowledge needed to care for service users safely. The manager is very supportive to members of staff who wish to pursue further education and improve their skills for the benefit of service users. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 & 38. Quality in this outcome area is excellent. The manager is well respected and runs the home safely, in the way service users want it to be run. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is organised, competent and runs the home to meet the needs of the people who live there. Service users, staff and families know who to got to if there is a problem and are very happy with the way in which the home is run. The manager is currently looking into alternative ways of funding and providing additional services for the home, which would further benefit and enhance the quality of life of service users. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 20 The manager has recently sent questionnaires to service users and relatives to get feedback and comments about how the service is run. Residents meetings take place regularly, which allow service users the opportunity to make suggestions and talk about what is good about the home or anything they are unhappy with. Discussions with service users during the inspection confirmed that the manager responds well to suggestions and that changes do take place. The home is audited by The City of York Council and the catering department at York Hospital. These audits help to monitor the overall performance of the home so that any area for improvement can be identified and dealt with. Service users’ money left at the home for safekeeping is stored securely. Accurate records of all transactions are kept to prevent the risk of financial irregularities. Service users can have access to their money at any time. City of York Council policies and procedures are available to service users and staff so that there are clear guidelines to be followed to ensure the safety of people receiving a service. The print size can be increased so that people with eyesight problems can also read them. A selection of safety certificates and maintenance records were looked at which showed compliance with health and safety legislation. The manager makes sure that service users are cared for in a safe way by providing staff training, and facilities and equipment that is safe to use. Service users are kept safe by restricting access to potentially hazardous areas of the home and making sure that necessary repairs are carried out as soon as is practically possible. Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 21 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 4 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 X X 4 Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 22 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 Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Fordlands Road (1) Residential Elderly Persons Home CYC DS0000034942.V318181.R01.S.doc Version 5.2 Page 24 - 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!