Inspection on 16/02/06 for Framland

This inspection was carried out on 16th February 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

Framland 10/05/07

Framland 05/05/05

Framland 25/02/05

Framland 20/10/04

Framland 11/02/04

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

CARE HOMES FOR OLDER PEOPLE Framland Naldertown Wantage Oxfordshire OX12 9DL Lead Inspector Jane Handscombe Announced Inspection 16th February 2006 09:30 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 Framland DS0000013088.V272783.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. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Framland Address Naldertown Wantage Oxfordshire OX12 9DL 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) 01235 769876 01235 762090 wantage@pilgrimhomes.org.uk Pilgrim Homes Mrs Barbara Joy Margetts Care Home 21 Category(ies) of Dementia - over 65 years of age (12), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (21), Physical disability over 65 years of age (1) Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 21. 5th May 2005 Date of last inspection Brief Description of the Service: Framland is situated in a residential area of Wantage with easy access to the town centre. The house is a period property that was converted for its present purpose before it opened in 1986. It was sensitively adapted so as to retain some of the original period features and the original house contains the main dining room/lounge on the ground floor and there is a second lounge in the extension. The home has six single bedrooms on the ground floor and eleven single and two double bedrooms on the first floor. There is a passenger lift and stairs to the first floor. The home offers 24hr care by a well-trained and committed staff group and is managed by an experienced manager. A hairdresser, chiropodist, dentist and optician are available at an additional cost by appointment at the home and local services in Wantage town can also be visited for these services. The home is registered to care for 21 elderly people who, for one reason or another are no longer able to live in their own homes. The staff cater for a range of needs which have been assessed by the registered manager. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on the 16th February 2006. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views upon the care and the services they receive at the home, staff members, viewing care plans, assessments, records and record keeping whilst observing the general day to day operation of the home. Likewise, comment cards were distributed to users of the service, relatives and visitors, General Practitioners, Care Managers/Placement Officers and Health and Social Care professionals in contact with the care home, to gain feedback on their views on the care of the service users and how they are received in the home. At the time of inspection the service users were busy going about their daily activities and there was a calm relaxed atmosphere. The inspector was warmly welcomed, by both the staff and service users, on arrival. Much of the inspection focused upon life from the service users’ point of view. Overall, the general picture of the home gained by the inspector was of being a well organised and caring home with a dedicated team of staff who offer a client focused approach to the care provided. Comments received from residents and relatives during the day included: ‘Staff are very friendly and approachable…they do their utmost to accommodate us’ ‘I get 3 good meals every day’ ‘I wouldn’t want to be anywhere else’ ‘the people are very kind here, they are very good’ Comments received from staff included: ‘I enjoy my work very much, ……. lovely manager’ ‘I love being here’ Positive feedback was gained from health and social care professionals who visit the home which included the following: ‘they are a very caring home and take great trouble over each individual’ Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 6 ‘very well run home’ ‘the home is keen to offer staff training and staff willing to participate. Regular training and support provided for staff’ The inspector would like to thank the residents, staff and the owner for their warm welcome and their assistance during the inspection process and all those who kindly took the time to give their views and return their comment cards. What the service does well: What has improved since the last inspection? There have been a number of improvements since the last inspection: The small lounge has been redecorated and fitted with a new carpet and curtains. Five bedrooms have been redecorated. One room in the home, which was inaccessible for wheelchair use, has undergone some change to allow access for wheelchair and hoist. Problems were highlighted during the last inspection around the temperature of the hot water in the home. This has since been addressed and valves placed in the majority of rooms with a remaining three waiting to be undertaken in March 2006. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 7 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. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 8 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 Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 9 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 The home provides good clear information, which is used by prospective residents to help them choose a home that is right for them. All residents have their care needs assessed before moving into the home. EVIDENCE: The manager of the home undertakes an assessment with all prospective service users to ensure that the home is able to meet their assessed needs. The assessment is undertaken in collaboration with the individual and/or their representative. A sample of care plans was examined and very thorough assessments had been made of each of the residents’ care needs. Wherever possible, prospective residents, family and friends are given the opportunity to visit the home and join fellow residents, in order to gain a ‘feel’ of the home and meet staff before making a decision as to whether the home is suitable. Framland DS0000013088.V272783.R01.S.doc Version 5.1 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, 9 and 10 All residents have an individual plan of care, setting out their personal and social care needs. There is a safe system of medicine administration within the home that is supported by policies, procedures and training. Risk assessments are undertaken where a resident wishes to administer and store their own medication. Residents are treated with respect and experience a sense of privacy at all times. EVIDENCE: A sample of residents’ files was viewed and found to be comprehensive and detailed giving a good picture of the assessed needs and how these needs are addressed. Care plans are reviewed on a monthly basis and updated as necessary. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 11 Risk assessment for aspects such as moving and handling, falls, and risk of pressure sores, are undertaken regularly and clearly documented within the care plans. Nutritional assessments were included in the care plans and appropriate action taken where required. The inspector observed the staff communicating with the residents in an appropriate and respectful manner, always using their preferred form of address. Residents who wish to take responsibility for their own medication are enabled to do so within a risk management framework. Dentist, chiropodist, and opticians are all readily accessible to the residents. Residents spoken to are appreciative of the care provided and one person said ‘they do their utmost to accommodate us.’ Framland DS0000013088.V272783.R01.S.doc Version 5.1 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): 13 and 14 The home supports residents to maintain contact with their family and friends and the local community and are assisted to exercise choice over their day. EVIDENCE: The inspector spoke to 7 residents who told the inspector that they felt at home and were able to exercise choice about how they chose to spend their days and what they could bring into the home, such items were observed in bedrooms. Wherever possible the service users are enabled to follow their social, cultural, religious and recreational interest and needs. One resident informed the inspector that she enjoys going out to women’s fellowship meetings twice a week, whilst another enjoys going into the town. The inspector noted that some residents were going out with the home visitors and a number of care staff to see the snowdrops in the locality, followed by a cup of tea at the local tea rooms. Upon their return, residents and a member of staff informed the inspector that it was an enjoyable trip. The inspector, in discussion around meals and mealtimes, was told that ‘a menu is put up and if it is something we don’t like, we have to tell the cook who will try and accommodate’. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 13 Another resident told the inspector that residents’ meetings are held during which any concerns can be voiced and heard and that the manager ‘has a manager’s surgery once a week if we have something urgent….’ Framland DS0000013088.V272783.R01.S.doc Version 5.1 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): 18 The home has robust policies and procedures in place along with relevant training to ensure that service users are protected from abuse. EVIDENCE: There are policies and procedures in place to guide the manager and staff on how to respond to any suspicion of abuse. Training is provided to all members of staff to assist them in becoming aware of their own care practices, to recognise signs and symptoms of abuse and to emphasise each staff member’s responsibility to ‘whistle blow’ on any poor practice or concerns that come to their attention. Framland DS0000013088.V272783.R01.S.doc Version 5.1 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, 21, 25 and 26 The home provides comfortable surroundings, which are equipped to meet the residents’ differing needs. EVIDENCE: The home encourages residents to bring small items of furniture and memorabilia to personalise their rooms to their own liking, which was evident on touring the home. Residents are provided with a key to their room if they wish, allowing them privacy, unless a risk assessment suggests otherwise, and lockable storage is also provided. Each bedroom has an alarm near to the bed in order that assistance may be sought when required. Residents spoken to on the day informed the inspector that they were very happy with their rooms and found them to suit their needs. All parts of the home are accessible to the service users, with the use of grab rails and a lift to facilitate mobility around the home. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 16 There is adequate provision of toilets, washing and bathing facilities throughout the home. When touring the outdoor facilities, it was observed that a couple of the doors were in a bad state of repair, the wood appeared to be rotting and therefore a requirement has been made to ensure that a risk assessment be undertaken by an appropriate person, that this be forwarded to CSCI and the findings be acted upon appropriately. Framland DS0000013088.V272783.R01.S.doc Version 5.1 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 and 29 The home is staffed in accordance with the needs of the residents and staff undergo the appropriate training to meet the residents’ needs. A thorough recruitment procedure is followed to ensure, as far as is possible, the health, safety and well being of the residents in their care. EVIDENCE: Four members of staff files were viewed which contained their recruitment, training and monitoring records. The recruitment procedures at the home were generally robust with clear monitoring systems in place to promote the protection of service users including application form; interview notes, references and Criminal Records Bureau (CRB) check being sought. All members of staff undergo induction training, upon appointment to their posts, and are offered ongoing training, which equips them to meet the assessed needs of the residents within the home. Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 18 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 and 38 Systems are in place within the home, and adhered to, in order to safeguard the residents’ financial interests. EVIDENCE: The inspector discussed the management of the residents’ finances. The systems and records were examined and found to provide a clear audit trail to safeguard the residents’ financial interests. Policies and procedures are in place, to protect the residents’ health, safety and welfare and all staff receive mandatory training in moving and handling and fire safety. Framland DS0000013088.V272783.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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 2 x 3 x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23(2)b Requirement The registered manager must ensure that a risk assessment be undertaken on the doors identified during the inspection by an appropriate person, that this be forwarded to CSCI and the findings be acted upon appropriately. Timescale for action 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Framland DS0000013088.V272783.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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