Inspection on 15/11/05 for Frensham House
Also see our care home review for Frensham House for more information
This inspection was carried out on 15th November 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
The staff team in the home are very committed and dedicated and showed a lot of compassion for the resident group. They attended to residents needs with dignity and sensitivity. Residents consulted advised that they were happy at the home and had very positive comments to make about their carers. Resident and staff interaction was positive and supportive. Care records are detailed and up to date and reflect the current level of need for each individual. The home is clean and well maintained.
What has improved since the last inspection?
The Manager and staff have made some progress in addressing requirements outstanding from the last inspection. Medication administration practices were observed to be improved and now meet the National Minimum Standards. A hoist has been purchased and is available for use in the first floor bathroom. Several bedrooms have been redecorated in the last year and present as being clean, well presented and cheerful rooms.
What the care home could do better:
The staffing levels in this home are of concern. Practice demonstrated that residents` needs are not being met fully or appropriately due the staffing levels, in particular in the afternoons and as such residents are being placed at risk of harm. (Since this inspection, the staffing levels have been increased to one additional member of staff in the afternoons). The home has several baby gates in position around the home, and in particular surrounding the communal areas. From observation and discussions with staff, it is evident that this practice is a form of restraint. Again this is due to insufficient staffing levels being available to adequately observe and ensure the safety of all residents. The use of baby gates for people with dementia is unacceptable. Detailed risk assessments should be completed and if a form of restraint is felt appropriate and necessary, advice should be sought from dementia care specialists in the residential care field. Staff training needs to be reviewed. The staff team feel that they have not received sufficient and appropriate training to meet the needs of the current resident group. From discussion with the Manager, staff and viewing staff training records, there is evidence to suggest that the current training programme is not sufficient or appropriate. Staff have not received three days paid training days per year. The level of appropriate activities for the current resident group is poor. Again the staff team have many good ideas that they want to put into practice, but this is not possible, due to insufficient staffing levels. A requirement for a ramp to be provided to improve access into the home is still outstanding. This was raised originally by the Commission in the inspection undertaken on 25th May 2004.