Inspection on 09/02/07 for Fulwood Park (Methodist Homes For The Aged)

This inspection was carried out on 9th February 2007.

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

Fulwood Park (Methodist Homes... 12/11/07

Fulwood Park (Methodist Homes... 04/02/06

Fulwood Park (Methodist Homes... 03/12/05

Fulwood Park (Methodist Homes... 23/03/05

Fulwood Park (Methodist Homes... 06/07/04

Fulwood Park (Methodist Homes... 20/02/04

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

CARE HOMES FOR OLDER PEOPLE Fulwood Park (Methodist Homes For The Aged) 19 Fulwood Park Liverpool Merseyside L17 Lead Inspector Julie King Key Unannounced Inspection 09:30 9th February 2007 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 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fulwood Park (Methodist Homes For The Aged) Address 19 Fulwood Park Liverpool Merseyside L17 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) 0151 727 3840 home.fxg@mha.org.uk Methodist Homes for the Aged Ms Ester Markey Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th February 2006 Brief Description of the Service: Fulwood Park is a residential home for up to 34 people run by Methodist Homes for the Aged. The home is a large detached house standing in attractive landscaped gardens in the Aigburth area of the city. The accommodation comprises of 33 single bedrooms with en-suite facilities and 1 bedroom without en-suite. There are two lounges, spacious dining room and a hairdressing room. The home has a main laundry and a resident’s laundry to encourage independence. Tea making facilities are available on each floor for residents and visitors use. Fees are from local social services rates to privately agreed individual prices. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit took place over five hours. The manager, Ms Ester Markey, accompanied the inspector throughout the inspection period. Personal files of both residents and staff were inspected, and a tour of the building took place, which included all communal areas and a selection of resident’s bedrooms. Staff and residents were spoken with as regards their view about the care home. The care home was clean tidy, had no malodour, and had adequate staffing levels to care for the residents. What the service does well: What has improved since the last inspection? The overall management of this home continues to improve. The registered manager is experienced and shows a good understanding of the National Minimum Standards and accompanying regulations. The environment of the home has improved in most areas, especially communal rooms and corridors. Required documents and records have also improved, in particular the new care files for residents. The activities offered and conducted continue to improve – much to the appreciation of all residents spoken to. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 6 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. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents assessed needs are being met, and the home is able to provide assurances to residents and their representatives that assessments will be a continuous process throughout the resident’s stay. EVIDENCE: As part of the site visit the inspector case tracked a number of resident’s personal files from pre-admission up to date. All residents have a pre admission nursing assessment before they are admitted to the home; the assessment is undertaken by the manager or one of the deputy managers in the home. Residents, family and other health care professionals known to the resident contribute to the assessment. On the basis of the completed pre admission nursing assessments, the resident’s care plan is drawn up with the involvement of the resident, their Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 9 family / representative as appropriate, and key staff. Multidisciplinary healthcare team (MDT) involvement was also clearly apparent. It was recommended to the manager that greater clarity in the recording and documenting of care plan reviews would further improve standards, and provide additional evidence of the actual care assessment and care delivered. Fulwood Park does not provide intermediate care, so Standard 6 is not applicable. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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, 8, 9, 10, 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning system in place for all residents. This provides staff with most of the information they need to meet the resident’s needs. Medication management was compliant with current good practice requirements and guidelines, thus helping to protect the safety of residents. EVIDENCE: A random sample of new residents files and long stay residents were reviewed during the case-tracking process. The pre-admission documentation used was informative, concise and contained sufficient detail to inform the care plans once the resident was admitted. The care plans were generally completed to a high standard and contained evidence of multi-disciplinary involvement in residents care. The care plans were reviewed on a monthly basis or more often if required. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 11 However a recommendation was given to ensure that when treatment plans are changed the care plans should be altered accordingly at the time, and all changes and reviews are clearly documented. The administration, recording and storage of medications were examined on all units and evidence that they were managed and recorded in accordance with current good practice requirements and recommendations. Staff were observed knocking on resident’s bedroom doors before entering, and seen discreetly assisting residents with their daily needs. Residents spoken to told the inspector that the “staff are nice”, and that they felt “looked after”. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have choice and flexibility how they spend their day in the home, and pursue leisure activities according to their choice and preferences this allows independence and individuality for each resident. EVIDENCE: Residents in the home are asked on admission about their lifestyle, choice of foods, and choices and preferences of the social activities they would like to participate in. On admission to the home the resident with help from a family member completes “Getting to know you” questionnaire, which is a “Work life History” of the resident, and includes schooling, work, hobbies, food likes and dislikes etc. This information is used to facilitate organised activities for the resident. The garden area has been developed with garden furniture and patio areas. The inspector was informed that further developments, such as a flower planting area for residents, are being considered for the summer. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 13 The home employs a full time activities coordinator for the resident’s activities who is knowledgeable and experienced in suitable activities for the residents, and is aware of the National Association of Patient Activities (NAPA), which is a national organisation that promotes activities for residents in all health care settings. The kitchen areas were clean and tidy, and appear well managed. A wide choice of foods is on offer each day, with additional choices being offered to each main meal. Residents spoken to told the inspector that the “food was lovely”, and they looked forward to their meals. Staff assistance was offered to les able residents in a discrete and unobtrusive manner. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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): 16, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaint and adult protection policy and procedure was in place that helps ensure the safety and welfare of residents. EVIDENCE: Since the last inspection there has been no complaints to the Commission about this home. Many of the residents used their postal vote in the last General Election. The care home has up to date information on the Protection of Vulnerable Adults (POVA), and this information is communicated to new employees on their induction course. On the day of the site visit there was evidence that many of the staff in the home had undertaken training on Wirral POVA protocols, and the Whistle Blowing Policy. Advocacy information is available on each unit for residents and their families as needed. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of decor within this home is good, with evidence of continuing improvements, through maintenance and planning. The home presents as a homely, safe and comfortable environment for the residents. EVIDENCE: Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 16 The premises were clean and odour free, and there was evidence of on-going re-decoration and refurbishment. All rooms seen were decorated and furnished to a high standard, and many areas of the home had been decorated and / or refurnished since the previous site visit. Most of the residents had personalised their rooms with small items of furniture, photographs and soft furnishings; and they are able to have a direct input into their colour schemes, etc. The communal lounges were bright and inviting, and the dining room was nicely furnished and the tables well presented. All required safety certificates for the building were up to date and valid, including the fire risk assessment and related staff training. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 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, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a consistency of care within the home provided by permanent staff, which helps to offer safety and stability for the residents. EVIDENCE: References were seen in all staff personnel files, and CRB and POVA information was also evident. The registered manager was clearly able to inform the inspector of their knowledge of the National Minimum Standards and accompanying regulations regarding the recruitment and retention of staff. Training and inductions, including specific training on the protection of vulnerable adults was seen for most staff. The manager has developed a training plan for all staff, accessing many external training providers. The range of training and development includes medication management, moving & handling, health & safety, pressure sore prevention and NVQ in Care. This should continue to be built upon. The manager has also established inhouse “link people” to obtain additional information and training as needed. Their role extends to cascade new information to the remainder of the home’s staff. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 18 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 19 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, 36, 37, 38. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. This home benefits from a competent manager and staff team, thus helping to improve the quality of care given to residents. EVIDENCE: The manager (RM) is registered with CSCI, has completed her NVQ4 Registered Manager’s Award, and has, in conjunction with her deputy managers and staff team, made an ongoing improvement to this service. Staff morale appears to be high, and the staff spoken to said they feel valued and appreciated, and are happy coming to work. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 20 Policies and procedures are regularly updated with relevant changes in accordance with legislation, and both the Registered Manager and senior staff were clearly able to demonstrate their ongoing professional development. Records are kept in accordance with the Data Protection Act 1998, and audits were available for most aspects of record keeping. The company’s representatives also carry out regular internal audits. This system helps to maintain high standards and to further develop the service in line with changes in legislation and good practice. Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 21 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 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 4 4 3 3 3 3 3 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP15 Good Practice Recommendations It is recommended that locks of a kind that can be easily accessed and opened by staff are placed on all satellite kitchen cupboards, especially where chemicals are being stored. It is recommended that staff sign all training records to confirm their attendance at each session. It is strongly recommended that all staff who are responsible for checking and managing bed rails are trained and assessed competent in doing so by a suitable person. It is recommended that clearer, daily recording is evidenced on all care plans, and that reviews contain greater details regarding any clinical changes. 2 3 OP30 OP38 4 OP7 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Fulwood Park (Methodist Homes For The Aged) DS0000025389.V314059.R01.S.doc Version 5.2 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!