Inspection on 28/11/05 for Foxby Court

This inspection was carried out on 28th November 2005.

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

Foxby Court 10/05/06

Foxby Court 24/06/05

Foxby Court 30/11/04

Foxby Court 21/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Foxby Court Middlefield Lane Gainsborough Lincs DN21 1QR Lead Inspector Mr Doug Tunmore Unannounced Inspection 28th November 2005 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 Foxby Court DS0000002361.V268398.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. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Foxby Court Address Middlefield Lane Gainsborough Lincs DN21 1QR 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) 01427 613376 The Orders Of St John Care Trust Mrs Melanie Killelay Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th June 2005 Brief Description of the Service: Foxby Court is one of a group of homes run by the Order of St John Trust (OSJT). It is purpose built with all accommodation and services being on the ground floor. All rooms are currently single, with en-suite washing and toilet facilities. There are five different lounges and a large dining room. The home is situated in the south east of Gainsborough, on the edge of a residential area in large well-maintained grounds and gardens. Car parking is to the front of the building and there is a bus stop close by which residents and relatives can use to go to town or visit this home. Transport and support is provided to those residents who require it by the Trust. The stated aim of Foxby Court is to provide residents with a secure, relaxed and homely environment in which their care, wellbeing and comfort are of prime importance. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved looking at policies and procedures relating to maintaining the safety and general welfare of residents. Residents were spoken to as well as the manager and care staff and observations were made of care practices. A partial tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above standards were not inspected on this occasion. EVIDENCE: Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 & 10 There is good care planning in this home, which helps ensure that the delivery of personal care and health care needs are addressed. Residents are treated with respect and their dignity is maintained. EVIDENCE: A carer was aware of the intimate care needs of residents and those principles regarding maintaining the privacy and dignity of all those people in the home. She also confirmed that she had undertaken induction training, which addressed the bathing and toileting of residents. Residents commented that they felt that their privacy was maintained and that staff were very kind and considerate. All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed on a monthly basis or sooner depending on changing needs. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 9 Two residents files showed that care plans had been signed by the residents. Both residents confirmed that they had signed their care plan. One resident said ‘we have no complaints and have a bit of fun with the girls’ (care staff). Individual care plans evidenced that accidents are recorded in the home’s accident book and in the resident daily notes. The home also uses body maps for the mapping of any cuts or abrasions to residents. One accident form was checked through the homes accident procedures and it was found that appropriate recording had been undertaken. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 10 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 A variety of activities are available and residents are able to make choices about their participation. Relatives and friends of residents are made welcome in this home. Residents records do not identify their preferences relating to their daily requirements. EVIDENCE: The home undertakes a variety of activities for the stimulation of residents. The homes activities book and full time activities coordinator was seen. She said that activities are available all week and are varied to meet the requests of residents. One resident commented that ‘she does activities once a week and enjoys it’. Another residents said that she does a more physical type of activity due to having had a stroke. The hairdresser also visits three times a week. A resident stated that she can do activities if she wishes but ‘I tend to sleep in during the mornings and like to read or watch television in my room’. The minutes of the residents meeting held on the 29/09/05 showed the dates of when forthcoming entertainments would take place at the home. Two residents have taken an holiday to Devon accompanied by a care worker. Trips are also organised to the east coast seaside resorts. Photographs are displayed on the notice board showing activities/outings and events being Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 11 undertaken by residents. The homes long-term needs assessment records did not identify residents preferences regarding activities and outings as well as everyday choices regarding their daily living requirements. Residents stated that their visitors are made welcome and that they can be seen in the privacy of their room. The homes signing in book showed that the home has a large number of visitors during the day and evening. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 12 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 The homes complaints policies and procedures empower complainants. EVIDENCE: The home has displayed the service users guide, which contains the homes complaints procedures in the main entrance. The home has a detailed complaints procedure. The homes complaints log was seen; one complaint had been made prior to the last inspection. The home sends a letter with a return slip to complainants to sign confirming that their complaint had been addressed satisfactorily or not. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 13 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): 26 The home is clean and tidy, with a pleasant smell throughout. EVIDENCE: The home employs five cleaners and a tour of the home found it to be clean with no offensive odours detected. Residents said that the home is always clean and smells fresh. The homes training file showed that all staff have undertaken training in infection control. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 14 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): 28, 29 & 30 Residents are protected by robust recruitment practices. Residents benefit from a staff team who are well trained and work well together and compliment each others skills. EVIDENCE: Two personnel files seen contained CRB checks (Criminal Record Bureau), references, application forms and interview notes and meets legal requirements. Care workers have not been given and signed for The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes training record was seen which showed that, fourteen care workers had NVQ (National Vocational Qualifications) level 2 and three have level 3, eight staff are undertaking NVQ 2. The home more than meets the standard for 50 of staff to be trained to NVQ level 2 by 2005. Statutory training such as fire training, moving and handling and first aid are undertaken at this home. Other training undertaken included; food hygiene, adult protection, death and bereavement, medication training and infection control. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 15 One care worker demonstrated a clear understanding of her role and responsibilities. She confirmed that she had undertaken a number of the above mentioned training. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 16 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): 35 & 38 Records seen show that residents’ health and general welfare and safety are promoted. Accurate records are kept of residents’ monies. EVIDENCE: The home only deals with personal allowances of residents. All other monies relating to funding are paid into the companies bank account on a standing order, direct debit or by check by relatives or the County Council. The home does collect residents pensions and the post office receipts were seen. Residents’ personal allowances were seen and it was found that an accurate record is kept and receipts are available for any monies spent. One resident confirmed that she looks after her own ‘pension money’ and that she has a lockable facility in her room. Another resident commented that she signs for her money, which is brought around to her. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 17 There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Certificates were available showing that bath hoists and wheelchairs had been serviced/cleaned. All wheelchairs seen on the day of the inspection had footplates, which were in use. Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 18 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x x x x x x x x 3 STAFFING Standard No Score 27 x 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 19 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. 1. Standard OP12 Regulation 12(3) Requirement The homes long term needs assessment must identify and record residents preferences and capacities. Timescale for action 12/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Care workers should be given The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Foxby Court DS0000002361.V268398.R01.S.doc Version 5.0 Page 21 - 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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