Inspection on 05/07/05 for Framland Residential Home

This inspection was carried out on 5th July 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 03/11/05

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 LE13 1RH Lead Inspector Everton Osbourne Unannounced Inspection Tuesday, 05 July 2005 at 10:00 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 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 C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 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 None Firstsmile Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) N/A Care Home for Older People 31 Category(ies) of DE(E) Dementia over 65 - 4 registration, with number MD(E) Mental Disorder over 65 - 4 of places OP Old Age - 31 PD(E) Physical Disability over 65 - 4 Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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. 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. Date of last inspection Thursday, 20 January 2005 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 C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three hours to complete. With the exception of noncompliance with one fire officer’s directive, the outcome of the inspection was very positive in that three residents spoken with indicated that they are satisfied with the care provided in the home. The acting manager, two staff members and a fire safety officer was spoken with as part of the inspection process. One Requirement regarding fire safety was made. No Recommendations were made. A tour of the premises took place and the home throughout is maintained to very high standards creating a homely environment. 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. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 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 standard(s) 3 and 4. The assessment process is good and effective in ensuring that residents receive the right care in the right environment. EVIDENCE: Three residents’ assessments were inspected. The documents clearly identified the care needs of the residents. The residents spoken with indicated that they are satisfied with the care given to them and that the home is meeting their care needs. The fixtures, fittings and equipment seen throughout the home and three residents’ care plans seen indicated that the home is equipped to meet residents’ specialist care needs. For example meeting the care needs of people with dementia. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10 and 11. The care plan process is effective in ensuring that residents’ social and health care needs are met appropriately. Medication is managed well so that residents’ medication is given as prescribed. EVIDENCE: Three residents’ care plans were examined. The documents contained sufficient information to give staff members’ guidance on how to meet residents’ care needs. The residents spoken with indicated that they are satisfied with the level of care given by the home. One resident stated ‘We’re definitely being looked after well’. Another resident commented ‘The care is good’. Three residents’ health care records seen indicated that health care professionals such as General Practitioners and Community Nurses form part of the care delivery to provide medical and nursing care when required. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 9 Observations made indicated that residents’ privacy is respected. For example care staff members were seen knocking on bedroom doors before entering the rooms. Three residents indicated that the home respect residents’ rights to privacy. The policy seen and conversation held with two staff members indicated that the home respects residents’ rites of passage in the event of death. Three residents’ medication records seen indicated that the home is managing residents’ medication in accordance with given guidance. The document seen contain sufficient information for staff members’ guidance concerning safe medication practices. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. Residents receive fulfilling recreation as part of their daily care. Meals are very good in meeting residents’ nutritional needs. Residents’ choice and contact with the community is managed well so that residents maintain good contact with relatives and friends. EVIDENCE: Three residents spoken with indicated that the choice of meals is varied and wholesome. One resident commented ‘I like the food’ and another resident stated ‘Meals are fine, good choice’. Observation of the lunchtime meal confirmed residents’ verbal statements. Three residents spoken with indicated that they receive visits from relatives and friends and that they are able to go shopping and on leisure day trips. The acting manager indicated that the home owns a bus which is used for day trips. The recreation schedule seen indicated that regular planned activities are given to residents. The home is commended for providing regular ongoing activities for residents’ daily recreation. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 11 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 standard(s) 16 and 18. Processes are in place so that residents or their relatives can make a complaint when required. There is an adult protection process so that the home can respond to suspicion or allegation of abuse for the protection of residents in their care. EVIDENCE: The written complaint procedure seen indicated that adequate guidance is given to residents and their relatives on how to make a complaint. One resident commented ‘I speak to the manager if I need to complain’. The complaints logbook seen indicated that there are no ongoing complaints. The adult protection process was examined. Clear guidance is written for staff members regarding the protection of vulnerable adults in their care. Two staff members spoken with gave good verbal responses regarding their understanding of adult protection issues and how to respond in the event of suspicion or allegation of abuse. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 12 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 standard(s) 19, 20, 21, 25 and 26. The home is being maintained to very high standards with an emphasis on creating a homely environment. Adequate communal space and facilities are provided for residents’ use and comfort. EVIDENCE: The bathroom and toilet facilities were inspected and found to be very clean and sufficient in numbers based on thirty-one residents residing in the home. An inspection of the premise found it to be very clean and hygienic throughout. The provider is commended for providing an environment that is very clean and homely in appearance. Observations of care practices made and discussions held with two staff members indicated that staff members appear to be adhering to good hygiene practices for example good hand washing techniques. The infection control policy seen indicated that sufficient information is given to all staff members for good hygiene practice. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The care hours and staffing numbers provided in the home are sufficient for the provision of residents’ care and protection. EVIDENCE: The staffing rota was examined and it indicated that sufficient skill mix and staffing hours are provided on a daily basis. There were four care staff members on duty which included one senior care staff taking care of twentyfour residents. There were other staff members on duty at the time of the inspection. Observations made and conversation held with three residents indicated that they are satisfied with the staffing levels. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 38. Residents’ care records are properly maintained for residents’ care and attention. Fire safety practices in the dining room have the potential of placing residents at risk of harm. EVIDENCE: Three residents’ care records were inspected for example care plans and all documents seen were up to date. Observations made indicated that fire safety equipment for example fire extinguishers are examined on a regular basis. Observations made indicated that the cupboard in the dining room contains two industrial fridges and the cupboard doors were open. The fire safety officer’s report seen indicated that the doors should be kept closed behind fire resistant material for the safety of residents. The home is required to comply with the fire officer’s directives for the protection of residents residing in the home. Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x 3 4 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x 3 2 Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 16 No 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 38.2 Regulation 13.4(C) Requirement The registered person shall ensure that unneccessary risks to the health or safety of service users are identified and so far as possible eliminated. In this instance, doors to the cupboards with two fridges in the dining room must be be kept in accordance with the fire safety officers directives. Timescale for action 1 Week 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 None Good Practice Recommendations Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Framland Residential Home C51 C01 S1777 Framland Residential Home V236951 050705 STAGE 4.doc Version 1.40 Page 18 - 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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