Inspection on 03/11/05 for Framland Residential Home

This inspection was carried out on 3rd 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

Framland Residential Home 09/01/09

Framland Residential Home 14/02/07

Framland Residential Home 05/07/05

Framland Residential Home 20/01/05

Framland Residential Home 01/07/04

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

CARE HOMES FOR OLDER PEOPLE Framland Residential Home The Mansion House 11 Faldo Drive Melton Mowbray Leicestershire LE13 1RH Lead Inspector Mr Everton Osbourne Unannounced Inspection Thursday, 3rd November 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 Framland Residential Home DS0000001777.V263283.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. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Framland Residential Home Address The Mansion House 11 Faldo Drive Melton Mowbray Leicestershire LE13 1RH 01664 564922 01664 564922 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) Firstsmile Limited Under Application Care Home 31 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (31), Physical disability over 65 years of age (4) Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person in category PD(E) to be admitted to the home when there are 4 persons of that category already accommodated in the home. Service user numbers. No person to be admitted to the home in categories MD(E) or DE(E) when 4 persons in total of these categories/combined categories are already accommodated in the home. 5th July 2005 Date of last inspection Brief Description of the Service: Framlands care home cares for thirty-one older persons who may have dementia or mental disorder in a purpose built property situated in a residential area in Melton Mowbray. The town centre of Melton Mowbray is within close proximity where residents have access to a variety of shops and other facilities. The home is easily accessible for private and public transport. The premise consists of three floors accessible by use of the stairs and passenger lift. There are a variety of facilities in the home including dining and lounge space. The home comprises thirty single bedrooms, twenty-eight with ensuite facilities. A garden is situated to the rear of the premises. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took five hours and thirty minutes to complete. The outcome of the inspection was positive in that fourteen residents spoken with indicated that they are satisfied that the home is attending to their care needs. One staff member and the acting manager were also spoken with as part of the inspection process. Prior to this inspection one former resident’s relative made a complaint about the level of care given to this resident whilst residing in the home. This inspection took into account the allegations made against the home and inspected the Standards relating to the issues raised by the complainant. The following are issues brought to the attention of the Commission for Social Care Inspection: 1) 2) 3) 4) 5) 6) 7) 8) Allegations of inappropriate toilet procedures concerning one resident Allegation of inappropriate processes concerning the signing of contract Allegation of resident being placed in isolation Allegation of poor meals given to one resident Allegation that one resident was not registered with a General Practitioner Allegations that the call bell was inaccessible for one resident Allegations that medication not prescribed was given to one resident Allegations made indicating that no toiletries were sent to the hospital with the resident when being admitted to hospital The conclusion of the inspection found that four allegations made were not upheld and four were inconclusive. Outcomes for the issues raised are also recorded in the main body of this report. What the service does well: The staff team are very professionalism and care. good at interracting with residents with The décor and overall upkeep of the home is very good creating a homely atmosphere. Care recordings are managed well and residents’ records kept secure in lockable spaces. Framland Residential Home DS0000001777.V263283.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. Framland Residential Home DS0000001777.V263283.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 Framland Residential Home DS0000001777.V263283.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 and 6 The admission process is good in giving residents and their relatives sufficient information about the care to be provided in the home. The assessment process is good in identifying residents’ care needs for the provision of good quality care. EVIDENCE: The home’s Statement of Purpose provides Good information about the services provided in the home. Discussion held with the acting manager indicated that residents are given this document prior to moving into the home. An examination of two residents’ admission records indicated that contracts are given to the residents giving information about their Terms and Conditions of their residency in the home. Conversation held with fourteen residents indicated that they were given the choice to visit the home before moving in. Evidence of this is seen in two residents’ admission records. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 9 Two residents’ assessments were inspected. The documents indicated that needs-led assessments were carried out prior to them moving into the home. Conversation held with these residents indicated that the documents reflect their care needs. The Statement of Purpose and discussion held with the acting manager indicate that the home does not provide intermediate (rehabilitation) care. Discussion held with the acting manager indicated that the resident who is the subject of a complaint investigation was not asked by the home to sign a contract. The acting manager indicated that the document signed by the resident’s daughter was the social services Individual Placement Agreement (IPA), which is a contract issued by the placing social worker. The resident who is the subject of a complaint investigation was admitted to hospital. A list indicating that toiletries and spare clothing was sent to the hospital at the time of admission was seen during the inspection. Conversation held with a staff member of the admitting hospital indicated that she cannot recall any incidents of a patient being admitted without spare clothing or toiletries for that period. The allegation that the provider pressured the resident’s daughter to sign a contract before the four-week trial period had expired is not upheld. The allegation that the resident was admitted to hospital without spare clothing and toiletries is inconclusive. Framland Residential Home DS0000001777.V263283.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 and 8 The care plan, medication and healthcare processes works well in ensuring that residents’ assessed care needs are met appropriately. EVIDENCE: An inspection of two residents’ care plans showed that their assessed care needs are being attended to. Sufficient information is contained in the documents giving staff members’ good instructions on how to meet these residents’ care needs. Fourteen residents spoken with indicated that they are satisfied with the care provisions in the home. One resident commented ‘They’re good to us’ (referring to the care staff). A third resident’s care plan was inspected as part of a complaint investigation. The document showed that appropriate urinal aids were used as part of the care process and to promote dignity for the resident. Discussions held with the acting manager and care records seen indicated that during the respite periods for the resident she remained with her own General Practitioner. The resident’s healthcare record seen showed that the resident Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 11 was eventually registered with a General Practitioner when her placement became permanent in the home. The resident’s Medication Administration Records was inspected and showed that medication to be taken at 8:pm was prescribed by a General Practitioner. The allegation of inappropriate toileting regime is not upheld. The allegation that the resident was not registered with a General Practitioner is not upheld. The allegation that the resident was given un-prescribed medication is inconclusive. Framland Residential Home DS0000001777.V263283.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 and 15 Giving residents’ good choices regarding their daily lifestyle is managed well so that residents can access recreational activities at their own convenience. EVIDENCE: Observations made and conversation held with fourteen residents indicated that they are able to attend recreational activities in and away from the home at their convenience. Two residents’ care plans seen indicated that suitable recreational activities are being provided in the home. Daily care records seen concerning the resident who is the subject of a complaint investigation indicated that on several occasions the resident requested to sit on her own. Discussions held with the acting manager indicated that no resident would be made to sit on their own unless it was their choice to do so. For example the acting manager recalled that the resident asked during another resident’s birthday meal, to be excused because she was not feeling well. The daily care records confirmed the acting manager’s verbal statement. Discussion held with the deputy manager and the menu seen for the period, which is the subject of a complaint indicated that the meal appeared to be wholesome. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 13 The allegation that the resident was placed in isolation is not upheld. The allegation that the resident was excluded from the birthday meal is not upheld. The allegation that poor meals were given to the resident is inconclusive. Framland Residential Home DS0000001777.V263283.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): 17 An adult protection procedure is in place to protect the legal rights of residents’ residing in the home. EVIDENCE: Two residents’ care plans seen and conversation held with them indicated that processes are in place so that residents can obtain the services of advocates when required. Framland Residential Home DS0000001777.V263283.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): 22, 23 and 24 Residents’ surroundings accommodation needs. EVIDENCE: Observations made indicated that there is sufficient shared space in the home to meet their communal needs, for example the dining and lounge areas. Two residents’ care plans inspected and equipment seen throughout the premise indicated that an adequate number of aids and adaptations are in the home based on residents’ assessed care needs. Observations made indicated that there are sufficient fittings and fixtures in the home for example lighting fixtures in residents’ bedrooms and communal areas. The position of emergency call buttons was inspected due to the call buttons being a subject of a complaint for one resident. The acting manager indicated Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 16 are managed well for their comfort and that call buttons are placed within close reach for residents. However the complainant indicated that the call button was out of reach for the resident. The allegation that the resident was unable to alert staff due to the call button being out of reach is inconclusive. Framland Residential Home DS0000001777.V263283.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 and 30 Sufficient numbers of care staff members are employed to work in the home for residents’ care and safety. The recruitment and training processes are suitable in ensuring that suitably trained staff members are employed for the care and protection of residents. EVIDENCE: The staffing rota was inspected. It showed that sufficient staff members were on duty at the time of the inspection. This was also confirmed by observations made during the tour of the premises. Fourteen residents spoken with indicated that they are satisfied with the staffing numbers on duty. One staff member’s training record seen and discussion held with the acting manager indicated that sufficient numbers within the staff team have achieved their National Vocational Qualifications (NVQ 2) in care duties. The training record further indicated that this staff member has attended several training courses for example ‘moving and handling techniques’. One staff member’s recruitment record seen indicated that all relevant documentation is contained within the file for example two suitable references and an up to date Criminal Record Bureau disclosure. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 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): 31, 32, 33, 34, 35 and 36 The premises are managed adequately and staff members satisfactorily supervised for residents’ safety and comfort. EVIDENCE: An inspection of the acting manager’s application documents for registration indicated that the acting manager appear to be suitably qualified and experienced to manage this home. Conversation held with fourteen residents and one staff member indicated that the manager’s approach to managing the home creates an open and inclusive atmosphere, which they indicated is very positive for the home. An examination of the quality assurance systems indicated that regular residents and relatives meetings are held to obtain residents’ views about the care they are receiving. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 19 An inspection of the financial procedures in the home indicated that robust procedures are in place to safeguard residents’ monies if kept for safekeeping in the home. For example staff members have to sign each time transactions are made on behalf of residents. One staff member’s records seen indicated that the registered manager regularly holds formal supervision with the staff member. Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 20 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 3 3 X X 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 3 3 3 3 3 X X Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 21 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 Framland Residential Home DS0000001777.V263283.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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