Inspection on 03/10/05 for Freshfields Residential Home

This inspection was carried out on 3rd October 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

Freshfields Residential Home 24/05/07

Freshfields Residential Home 06/02/06

Freshfields Residential Home 03/03/05

Freshfields Residential Home 19/05/04

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

CARE HOMES FOR OLDER PEOPLE Freshfields 265 Corbets Tey Road Upminster Essex RM14 2BN Lead Inspector Helen Fontaine Unannounced Inspection 3 October 2005 13:30 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 Freshfields DS0000027852.V254059.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. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Freshfields Address 265 Corbets Tey Road Upminster Essex RM14 2BN 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) 01708 226362 Mr Brian Albert May Miss Zoe Lillie-Ann May, Mrs Valerie Ann May Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2005 Brief Description of the Service: Freshfields is a privately owned residential care home that is registered to accommodate twenty older people. The inspector was informed that the registered provider is planning to extend the home and the number of places at the home in the very near future. At the time of the inspection the Service Users were mainly mobile although the home can cater for people with significant mobility difficulties. The home is a spacious converted domestic property on two floors that is accessible throughout. Eight single bedrooms are situated on the ground floor along with the main communal facilities including a large dining room, lounge and Service User’s telephone room. The home’s kitchen, laundry and other staff facilities are also situated on the ground floor. A passenger lift as well as stairs connects the ground floor to the first floor. The first floor consists of another eight single bedrooms and two shared rooms although at the time of the inspection and to date one shared double bedroom is occupied by one service user only making the number of service users residing at Freshfields residential home nineteen. Eleven of the home’s sixteen single rooms have ensuite facilities with additional bath/shower and toilet facilities nearby the other bedrooms. The home has a pleasant rear garden and patio areas, which have been used fully despite the building of the extension. The front of the premises is used for parking for visitors to the home. The home is situated in a pleasant residential area in Upminster, Essex and is close to local shops and other amenities. The home is also close to bus and train lines and is within five minutes drive of the M25 motorway. A stated aim of the home is to provide its Service Users with a secure, relaxed and homely environment in which their care, well being and comfort are of prime importance. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours and was carried out as part of the yearly inspection programme. The previous unannounced inspection was on 3rd March 2005, there were no Requirements identified. The inspector did a tour of the building and a number of records were looked at. Three residents and two members of staff was spoken to, the Manager was present for the inspection. 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. Freshfields DS0000027852.V254059.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 Freshfields DS0000027852.V254059.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): 3 and 5 The home does not admit service users unless they have been properly assessed and the home is sure they can meet their needs. Prospective Service Users and their relatives and representatives have an opportunity to visit, assess the quality, facilities and suitability of the home. EVIDENCE: During the inspection Service Users files were looked at and one of the files was that of the newest Resident to the home. This file evidenced the good quality of the assessment prior to moving into the home. There was evidence that the home would be able to meet the needs of service users admitted. The Manager said that any prospective Service Users visited the home regularly and had meals, which gave them the opportunity to establish if the home met their requirements. Freshfields DS0000027852.V254059.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 and 10 The home promotes service users’ needs, as outlined in their care plans. Service Users’ Care Plans set out their individual health and social care needs. Service Users do feel they are treated with respect and their right to privacy is up held. EVIDENCE: During the inspection the Service User’s Care Plans were looked at and these evidenced that their health, personal and social care needs are met. Service Users spoken to during the inspection particularly commented that they are treated with respect. It was noted that no member of staff entered a Residents room without either knocking or without their prior consent. One Service User spoken to commented that they could either have privacy in their own room or join in with others in the communal areas. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 9 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 Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural and recreational needs. Service Users receive a wholesome and balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Service Users spoken to during the inspection commented that the lifestyle of the home matches their expectations. One Resident said that they very much liked the choices of activities and particularly that the television is not left on, regardless of whether people are watching it or not. All the Residents spoken to commented on the food, the dining area was seen to be pleasant and the menu varied. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 10 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 and 18 Service Users are confident that their complaints will be listened to, taken seriously and acted on. Service Users are protected from abuse. EVIDENCE: Service Users spoken to said that they were very confident that if they had any complaints that these would be listened to and dealt with. Staff spoken to also said that they felt very clearly that all complaints would be dealt with and any concerns they had would also be listened to. Staff when asked were fully aware of the policies and procedures on Adult abuse, they were aware of the Local Authority procedures and the contact for the Commission for Social Care Inspection. The Manager did have a complaints book, however there were no entries and the Manager said that they deal with any issue that came up immediately. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 11 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, 20 and 26 Service Users live in a safe, well-maintained environment with access to safe and comfortable indoor and outdoor facilities. The home is clean, pleasant and hygienic. EVIDENCE: During the inspection a tour of the home was undertaken, it was noted that all areas of the home were safe and well-maintained. The Service Users have access to safe and comfortable indoor and outdoor facilities and despite the building of the extension; the outdoor facilities remain very pleasant. It was noted that there were photos of a Cream Teas in the garden, along with quite a few other activities. During the tour of the home all areas of the home were seen to be clean, pleasant and hygienic. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 12 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 numbers and skill mix of staff meets Service Users’ needs. The Service Users are supported and protected by the home’s recruitment practices. EVIDENCE: During the inspection the staff files were looked at and the staff rota, which indicated that there was more than adequate staffing number to meet the needs of the Residents. The staff files; one of which was the newest member of staff, showed that the recruitment procedure and practices were robust. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 13 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): 32 and 33 The ethos, leadership and Management of the home benefited the Service Users. As a result the home is run in the best interests of the Residents. EVIDENCE: Discussions with staff and Service Users, as well as the high standard of documentation, evidenced the ethos of the home is one that benefits the Residents. This also evidenced that the home is run in the best interest of the Service Users. The Manager said that they drop in during shifts to make sure the very highest standard of care is maintained. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 14 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 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 3 17 X 18 3 3 3 X X X X X 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 3 3 X X X X X Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 15 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 There were no requirements made at this inspection 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 OP11 Good Practice Recommendations The Registered Manager explores in a little more in-depth with Service Users their wishes around the issue of death and dying. Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Freshfields DS0000027852.V254059.R01.S.doc Version 5.0 Page 17 - 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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