Inspection on 17/10/05 for Fornham House Residential Home

This inspection was carried out on 17th October 2005.

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

Fornham House Residential Home 03/08/06

Fornham House Residential Home 18/01/06

Fornham House Residential Home 17/12/04

Fornham House Residential Home 27/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Fornham House Residential Home Fornham St Martin Bury St Edmunds Suffolk IP31 1SR Lead Inspector Cecilia McKillop Announced Inspection 17th October 2005 10:00 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 Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fornham House Residential Home Address Fornham St Martin Bury St Edmunds Suffolk IP31 1SR 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) 01284 768327 01284 768040 Pri-Med Group Ltd. Mrs Jean Mary Murphy Care Home 66 Category(ies) of Old age, not falling within any other category registration, with number (66) of places Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th December 2004 Brief Description of the Service: Fornham House is a care home providing personal care and accommodation to 66 older persons. It is owned by Pri-Med Group Ltd, a company with a number of other homes in Suffolk. The home is situated in the village of Fornham St Martin, which is about five miles from the market town of Bury St Edmunds. There is a public house and church in the village but other facilities (such as shops) are located in Bury St Edmunds. All the home’s bedrooms are single with en-suite toilet and shower facilities. Shaft and Stannah lifts provide access to all floors of the home. There are several communal rooms and an accessible and well-maintained garden. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an announced inspection of Fornham House. The inspector spent the day at the home looking at documentation and speaking with staff, visitors and service users. In total five staff and nine service users were interviewed. One relative was interviewed on the day and seven responded by questionnaire. The Registered Manager, Mrs Jean Murphy was available throughout the inspection and assisted by providing information and documentation. Mrs Carol Roberts (Responsible Individual) was also present at the home. This was a very positive inspection and the home was found to have exceeded the standards in a significant number of areas. No requirements or recommendations have been made at this inspection. What the service does well: The standard of the accommodation is high with all bedrooms having ensuite facilities. The home is well looked after and all areas are nicely decorated and bright. The gardens are pleasant and accessible. The home has a full time activity coordinator and there is a good range of interesting activities on offer for service users. The meals are well presented and service users spoke highly about the quality of the food. Service users reported that they were offered choices and individual preferences were catered for. Routines within the home appear flexible and the atmosphere was relaxed. Staff were described as kind and helpful. They were praised by service users and the inspector was told that they always respond quickly. One relative described the home as “its like a hotel with extras” another said “ I never fail to be impressed by the staff at Fornham House at every visit.” Care plans are detailed and informative. Service users health and wellbeing is monitored and the care provided is subject to regular review. Advice is sought from other professionals as appropriate. The manager provides clear leadership and direction. Service users reported that she was very approachable and was someone who would sort out any problems that would arise. One relative said, “ I can’t imagine a better matron than Mrs Murphy.” There is a commitment to consultation and a service user committee meets once every six weeks. One service user said that the management team welcomed comments on the service. The company also has its own quality assurance system and seeks the views of service users relatives and professionals. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Admissions to the home are well planned and service users have an opportunity to visit and look at the facilities on offer. Service users are having their needs assessed and are provided with a range of information about the home. EVIDENCE: The home has an admission folder, which contains key documentation including the service user guide, the statement of purpose, the complaints procedure, the last inspection report and a copy of the terms and conditions. The manager said that this pack is shared with all prospective service users and their representatives when they come to look around the home. Copies of the documents are provided, following the visit. The service users who were interviewed said that their admission had been well managed. The manager generally visits service users in their own home and reported that distance was not usually an obstacle. The manager uses the visit to discuss the service users care needs. The service user then visits the home for a day visit. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 9 The records of a newly admitted service user were examined as part of the inspection and there was evidence that a detailed assessment of the service users needs had been undertaken. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 Service users have a comprehensive care plan and are assisted to access community health services. Service users feel that they are treated in a respectful manner and their privacy is upheld. EVIDENCE: Service users health, personal and social care needs are set out in a care plan. The plans, which were examined as part of the inspection, were detailed and informative. Clear guidance is given to staff about how care should be provided and service users preferences on a range of matters including what should happen in the event of their death. There was evidence of ongoing monitoring of service users nutrition and weight. There were risk assessments in place with regard to falls and moving and handling. The district nurse and the community physiotherapist, who were visiting the home on the day of the inspection, were both interviewed by the inspector, and they confirmed that they had good relationships with the home and advice was sought appropriately. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 11 The manager had recently organised a “falls day ” which was attended by service users and their relatives. Speakers came into the home to discuss falls prevention, general well-being and some of the steps that can be taken to reduce the likelihood of a fall. Discussions were held on a range of areas such as eating, drinking and exercise. The manager reported that the day had been well attended. The optician, and a chiropodist visit the home regularly. Service users are transported to a local dentist. First aid boxes were located throughout the building and were well stocked. Service users who were spoken with as part of the inspection were very positive about the helpfulness of staff and reported that their privacy was respected and they “felt safe” at the home. Relatives and friends who completed the questionnaires confirmed that they were able to visit their relative in private. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The home provides a range of interesting and stimulating activities for service users. Friends and families are encouraged to visit and routines within the home are flexible. The meals are served in pleasant surroundings and a choice is always available. EVIDENCE: The home has its own activity organiser who provides a monthly programme of planned activities for service users. There was a good balance in the programme and trips out are organised two or three times each month. On the day of the inspection a musical session had been organised and this was well attended. Bingo and crafts sessions were popular but the home also has its own art group and a professional artist comes into the home each month to assist. Pre diner drinks are held each Sunday for all service users. The home has been successful in fundraising for a number of different charities with events such as breakfast’s clubs and coffee mornings, and service users and their families have attended these. The library visits the home regularly as does a hairdresser. The meal served on the day of the inspection was sausages, with peas, carrots and potatoes. Soup and cold lamb was also available. There was also a choice Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 13 of pudding. The service users who were spoken to as part of the inspection were very positive about the quality and variety of the food, describing it as “wonderful.” Service users can eat in their bedroom, the main dining room or in at a small table located in one of the lounges. The environment was pleasant and there were sufficient numbers of staff available to assist service users who require assistance. The service users who were spoken with as part of the inspection confirmed that they were encouraged to maintain their independence and were given choices by staff. One service users said, “ The home tries to accommodate what they wanted.” Another service user said that there were no strict routines. Relatives who completed the questionnaires confirmed that they were welcomed at the home and service users reported that it was nice that their visitors were always offered a cup of tea. A new “internet café” is due to open, which will enable service users to send emails and access the internet. “Training” and advice is to be available to service users to assist them until it gets up and running. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Service users felt confident that the home’s management would take concerns or complaints seriously. EVIDENCE: Service users who were spoken with were clear that there was someone with in the home that they could speak to about a complaint. The manager was described by a number of service users as being very approachable and as someone who would sort any problem that arose. Two complaints had been made to the home and both of these had been resolved at an informal stage. The relatives who responded by questionnaire all confirmed that they were aware of the homes complaints procedure. Staff who were interviewed as part of the inspection confirmed that they had undertaken training in vulnerable adults and were clear as to the steps that they should take if they had a concern about the welfare of a service user. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25, 26 This home provides a clean and well-maintained environment for service users. The communal facilities are of a high standard and service users are able to personalise their own bedroom. EVIDENCE: The home was clean and smelt fresh. There was evidence of ongoing redecoration and upgrading of the facilities. There are a number of lounges and sitting areas available and they were all very comfortable and had been furnished to a high standard. Tea and coffee making facilities were available for service users and their relatives in one of the sitting rooms. One relative who completed the questionnaire described the home as having “ Beautiful sitting room, lovely country furnishings, beautiful grounds to walk around. Grand staircase….” Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 16 The bedrooms vary in size but all have ensuite facilities. Service users confirmed that they were able to bring in their own furnishings and the rooms viewed as part of the inspection had all been highly personalised. Service users confirmed that they could have the choice of a shower or a baths. A new specialist bath has been fitted since the last inspection and this lifts up to allow ease of use for service users and staff. Water temperatures were tested as part of the inspection and were within the recommended levels. The temperature was slightly low in one of the bathrooms but the manager thought that this was due to the fact that the test was undertaken just after lunch. It was agreed that this would be monitored. Staff were aware of the importance of good infection control procedures and there were plentiful supplies of liquid soap and paper towels throughout the building. Some of the radiators have low surface temperatures and plans are in place to fit radiator covers on the remaining radiators. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The home recruitment practices are robust and offer protection to service users. Staff are trained to do their job. EVIDENCE: The home employs 29 care staff and 18 ancillary staff. Eleven staff have achieved National Vocational Qualification (NVQ) level 2 and five more staff are on target to complete it by the end of the year. This home will then have over 50 of staff trained to the recommended level. The staff appointment records on two newly appointed staff were examined as part of the inspection and there was evidence of sound recruitment practice being in place. Five staff were interviewed as part of the inspection and they were positive about the amount of training that they receive and the support available from the manager. All care staff have regular supervision. Two of the care staff had been recently been appointed and they said that while they were new to the care sector they had been guided and received a comprehensive induction. There are handovers at key points in the day to ensure that staff are fully aware of changes to service users needs and staff meetings each month. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 18 Levels of staff were not examined in depth at this inspection but there were adequate numbers available to assist service users on the day of the inspection. The feedback from service users was that the staff were caring approachable and responded promptly to requests for assistance. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 This home is well managed and there are clear systems in place to protect service users. EVIDENCE: The manager has a background in nursing, and is knowledgeable about the care of older people. She is supported in her role by the Pri-med senior management team. The feedback from service users, relatives and staff about the care and management of the home was very positive. The manager was described by service users as very approachable, and “excellent ”at doing her job. A number of service users referred to the home having a good atmosphere, with no strict routines. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 20 A service user committee meets once a month and one service user said that the management team welcomed comments on the service. Pri-med has its own quality assurance system, which involves the sending out of questionnaires to service users, relatives and visiting professionals. The results are collated and shared with new service users as part of the admission procedures. Staff receive regular supervision and they reported that they felt supported in doing their job. The home provides safekeeping for some service users money and valuables. The procedures in place were examined as part of the inspection and there was evidence of robust systems in place. Individual service user records and home records were stored securely and are maintained in good order. The manager confirmed in the pre inspection information that regular checks and servicing are undertaken on the equipment in place at the prescribed intervals. There were no requirements outstanding in relation to the inspections by the fire officer and the environmental health officer. The register and the accident book were examined as part of the inspection and these were up to date and well maintained. The manager confirmed that she undertakes regular audits on accidents to monitor the circumstances and nature of the accident. Notifications are made as required. Risk assessments had been undertaken with regard to risks such as falling. Care Staff receive training on health and safety, fire safety and moving and handling. Eleven staff have the first aid appointed person certificate, but all staff undertake some training on first aid as part of the home’s induction programme. Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 N/A 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 N/A 3 4 N/A N/A N/A 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 N/A 3 3 3 3 Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 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 Fornham House Residential Home DS0000024389.V263144.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. 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