Inspection on 18/01/06 for Fornham House Residential Home

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fornham House Residential Home 03/08/06

Fornham House Residential Home 17/10/05

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 Unannounced Inspection 18th January 2006 11:00 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 DS0000024389.V279428.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. DS0000024389.V279428.R01.S.doc Version 5.1 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 DS0000024389.V279428.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2005 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. DS0000024389.V279428.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection of Fornham House and is the second of the inspection of the year with a previous inspection undertaken in October 2005. The inspector spent the morning at the home looking at documentation and speaking with staff, visitors and service users. In total 2 staff were interviewed, and 7 service users. The Registered Manager, Mrs Jean Murphy was on a day off but returned to the home during the inspection to assist. Mr Barrett, the proprietor also attended the home for a short period. This was a very positive inspection and the home was found to have exceeded the standards in a number of areas. No requirements or recommendations have been made at this inspection. What the service does well: This home continues to provide a good quality of care and the position remains as outlined at the last inspection. 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. Routines within the home appear flexible and service users spoke highly about the quality of the food and the commitment of staff. Staff were described as kind and helpful and the inspector was told that “this was an exceptionally well run home”. One relative said “I think that they do everything they could do and more.” 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. There is a commitment to consultation and a service user committee meets once a month. The company also has its own quality assurance system and seeks the views of service users relatives and professionals. DS0000024389.V279428.R01.S.doc Version 5.1 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. DS0000024389.V279428.R01.S.doc Version 5.1 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 DS0000024389.V279428.R01.S.doc Version 5.1 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): 3 Service users needs are assessed prior to their admission to the home. EVIDENCE: 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. The home does not provide intermediate care. DS0000024389.V279428.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 Service users social, personal and health needs are set out in a detailed care plan and service users are assisted to access community health services. Medication is stored and handled appropriately. 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 of a high standard and very detailed and informative. Clear guidance is given to staff about how care should be provided, and what staff must be aware of and monitor. The plans were up to date and had recently been rewritten to take account service users changing care needs. 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. One service user, whose care plan was examined was very unwell but was being cared for in bed on a specialist mattress. The service user looked comfortable and her visiting relative confirmed that staff were turning the service user regularly in keeping with the care plan and providing small and DS0000024389.V279428.R01.S.doc Version 5.1 Page 10 nutritious meals and drinks. She said that staff frequently entered the room to speak with them and check that all was well. The optician, and a chiropodist visit the home regularly. Service users are transported to a local dentist. The systems in place for the storage, recording and administering of medication were examined at this inspection. Medication was found to be securely and there were sound systems in place with regard to the security and monitoring of controlled drugs. The medication charts were up to date and corresponded with the prescribed medication. All was in order, with the exception of one set of eye drops, which had just run out and did not appear to have been reordered. Following the inspection the manager confirmed that the drops had been reordered and staff reminded of the procedure to follow. Records are maintained of homely remedies and agreement is sought from GP practices regarding the remedies given. Senior staff administer the medication and they receive training prior to undertaking these duties. Service users who were spoken with as part of the inspection were very positive about the helpfulness of staff and reported that they were well cared for. Staff they said respected their privacy, they didn’t rush them and worked at their pace. DS0000024389.V279428.R01.S.doc Version 5.1 Page 11 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, 15 Service users are helped to exercise choice over their lives and access a wide range of social and recreational interests. EVIDENCE: The home has its own activity organiser who provides a monthly programme of planned activities for service users. The library visits the home regularly as does a hairdresser. Service users reported that there were sufficient activities for them to do but they went out less with the poor weather. A number of service users said that Christmas had been a great period at the home and staff put in a lot of effort to make it special. Activities were not examined in detail at this inspection but at previous inspection the home was found to have exceeded the required standard in this area. Service users can eat in their bedroom, the main dining room or at a small table located in one of the lounges. There is an early and a later breakfast to accommodate service users different preferences. Service users reported that the food was good and they had three courses at lunch. 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. DS0000024389.V279428.R01.S.doc Version 5.1 Page 12 A new “internet café” is due to open, which will enable service users to send emails access the internet. “Training” and advice is to be available to service users to assist them until it gets up and running. DS0000024389.V279428.R01.S.doc Version 5.1 Page 13 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 Service users were confident that there concerns would be taken seriously and the home has systems in place to protect service users from abuse. 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. 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. The homes recruitment procedures were not examined at this inspection but complied fully at the last inspection. The records relating to the safe keeping of service users money were examined and there was a clear and accountable system in place. DS0000024389.V279428.R01.S.doc Version 5.1 Page 14 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, 21, 22, 25 Fornham House is a clean, well-maintained and comfortable home, where service users independence is promoted. EVIDENCE: The home was clean and smelt fresh. There was evidence of ongoing redecoration and upgrading of the facilities. The environment remains as outlined at previous inspections. 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. 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. DS0000024389.V279428.R01.S.doc Version 5.1 Page 15 Service users confirmed that they could have the choice of a shower or a bath. The home has a specialist bath which 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 home has a range of specialist equipment to assist service users maintain their independence, including lifting beds, specialist mattresses and grab rails. Staff carry mobile pagers to ensure that the can respond quickly to service users who press the call bells. The home also has a number of pendant call alarms and these are used by some service users who like to walk around the grounds. Some of the radiators have low surface temperatures and plans are in place to fit radiator covers on the remaining radiators. DS0000024389.V279428.R01.S.doc Version 5.1 Page 16 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 Service users needs were being met by trained staff. EVIDENCE: On the morning of the unannounced inspection there were nine care staff on duty caring for sixty-three service users. There was 6 staff rostered to be on duty in the afternoon and the numbers increased to seven for the evening shift. There are 3 waking night staff each night. The home has a number of service users who remain very independent and staff who were interviewed reported that the levels of staff worked well. Staff were observed going about there duties appropriately and bells were answered promptly. Service users spoke positively about staff and said that staff had time to spend with them and staff caring out care duties did not rush them. Staff informed the inspector that they had a good induction when they first started work at the home and there was a commitment to training within the organisation. The home has a large display board which tracks staff training and qualifications and 11 care staff were noted to have completed National Vocational Qualification level 2, which is just under half of the care staff. The inspector was informed that a number of additional staff were due to complete this training, which should take the home to the 50 recommended in the National Minimum Standards. DS0000024389.V279428.R01.S.doc Version 5.1 Page 17 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, 33, 38 The home is managed by a experienced manager who provides clear leadership and promotes the welfare of service users EVIDENCE: The manager , Mrs Murphy is a qualifed nurse and is knowledgeable about the care of older people. The manager has recently successfully completed the registered managers award. 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. A service user committee meets once a month. Pri-med has its own quality assurance system, which involves the sending out of questionnaires to service users, relatives and visiting professionals. DS0000024389.V279428.R01.S.doc Version 5.1 Page 18 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 fire prevention systems in place were examined as part of the inspection and there was evidence of regular checks, testing of equipment and training of staff being undertaken. A fire risk assessment was in place. Bath water temperatures were being regularly tested and monitored. Risk assessments had been undertaken with regard to risks such as falling and going out independently. Staff interviewed confirmed that they received training on a wide range of subjects including moving and handling, the administration of medication and first aid. DS0000024389.V279428.R01.S.doc Version 5.1 Page 19 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 N/A N/A 3 N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 N/A 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 N/A 14 N/A 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 3 4 4 3 3 N/A N/A 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 N/A 3 N/A N/A N/A N/A 3 DS0000024389.V279428.R01.S.doc Version 5.1 Page 20 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 DS0000024389.V279428.R01.S.doc Version 5.1 Page 21 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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