Inspection on 10/05/05 for Furzeham Lodge Care Home

This inspection was carried out on 10th May 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

Furzeham Lodge Care Home 29/08/07

Furzeham Lodge Care Home 06/07/06

Furzeham Lodge Care Home 06/12/05

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

CARE HOMES FOR OLDER PEOPLE Furzeham Lodge Furzeham Lodge Residential Home Higher Furzeham Road Brixham TQ5 8BL Lead Inspector James Rose Announced 10 May 2005 th 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. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Furzeham Lodge Care Home Address Furzeham Lodge Residential Home, Higher Furzeham Road, Brixham, Devon, TQ5 8BL 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) 01458 253874 davebaker@angelachidley.freeserve.co.uk Mr David Malcolm Baker Howard Norman Dennis, Sarah Jane Mary Dennis, Angela Baker Sarah Jane Mary Dennis Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (21) of places Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 19/08/04 Brief Description of the Service: Furzeham Lodge is an extended detached building that provides 24-hour residential care for up to 21 persons in the categories of old age and physical disability over the age of 65 years. The home has a large communal lounge with a dedicated dining area attached. All the rooms are on suite; there is one double room available the remainder are all single occupancy. The home has two floors with a vertical lift provided for less mobile service users. The home is situated by the green at the top of the hill above the harbour of Brixham. The home has a well-stocked garden with a central lawn area; to the side of the building is a hard standing car park, which is large enough for several vehicles. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 12 hours on 10th and 11th May 2005. A pre inspection questionnaire had been received from the home. Since the last inspection the proprietors have changed. A complete tour of the home was undertaken inside and out, a sample of staff and care records were examined. Five residents were asked for their views of life at the home; this was undertaken in private and three carers were also consulted. Two visitors were spoken to and the district nurse. The inspection was undertaken with the assistance of the registered manager. What the service does well: What has improved since the last inspection? The lounge/dining room of the home has been redecorated and soft furnishings have been replaced with new comfortable chairs provided. Two bedrooms have been redecorated and new carpets supplied. The call bell system has been Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 6 replaced and the kitchen has been refurbished with a new cooker made available. Medication has been moved to a locked dedicated facility with a new secure metal trolley used when medication rounds are undertaken. A key worker system has been introduced with some development of the senior staff roles and new detailed care plans have been produced for each person receiving care at the home. Activities have been developed further and a programme is displayed on the wall to enable residents to plan their time. Meals are no longer plated up in the kitchen but are served at the resident’s dining tables with vegetables available where residents can help themselves. 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. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 standard(s) 1 - 5 Comprehensive information is available to ensure that prospective residents are able to make an informed decision about admittance before moving in. Good quality assessment is undertaken and time is taken to explain the service available at the home. Prospective residents are encouraged to visit the home prior to moving in and use the services and a written contact/terms and conditions document is provided promptly. EVIDENCE: A detailed statement of purpose and service user guide was available and this provided the necessary information to ensure that prospective residents were able to make an informed choice about being admitted into the home. Residents consulted during the inspection advised that they felt they had all the information they needed about the home prior to moving in and also confirmed that they were encouraged to visit the home with their family to sample the service before making a decision about admittance. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 9 The management of the home normally expects to visit the prospective resident to complete a detailed assessment to ensure that all needs are recorded. If a person is admitted on an emergency basis an assessment is undertaken as a matter of priority to ensure that their needs are met. A written contract/terms and conditions document is provided to new residents shortly after moving in. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 standard(s) 7 - 11 Good quality care plans are available for each person receiving care with health and social needs recorded. Service users are given the option to self medicate and they are treated with respect at all times and their privacy is maintained. Service users are secure and the arrangements for dealing with their death are appropriate. EVIDENCE: The new management of the home have introduced a more comprehensive care planning approach to ensure that all residents’ needs are met, the plans are agreed with the resident concerned and signed by them. Good detail is recorded of health needs and appropriate access is provided to healthcare professionals. A comprehensive social programme of activities and trips has been introduced which residents said they enjoyed. The social events are displayed on the wall to enable residents to make their choices about what they would like to attend. Residents are enabled to go shopping with a carer on a weekly basis. Care plans are reviewed on monthly to ensure that they are kept up to date and changing residents needs are met. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 11 The medication facilities provided at the home have been improved to ensure that residents have their medication administered appropriately. Residents can self medicate if they wish and they have the capacity, this is subject to a risk assessment approach to ensure residents’ safety. Appropriate interaction was observed during the inspection between residents and their carers, residents were respected and care was taken when toileting and bathing to ensure that residents’ privacy was maintained. Staff were also seen to knock on doors before entering a residents room. The residents consulted advised that they were very happy with the service provided, one resident said “I’ve never been so well looked after” and another advised “ I cannot think of anything else they could provide to make life better for me”. Two relatives visiting Furzeham Lodge said, “We were not looking forward to visiting in a residential home but have been surprised by the quality of the service and surroundings and we would quite like a bed ourselves”. The home has a policy and procedure in place concerning the issues that arise from the terminal phase of a resident’s life to ensure that this is appropriately handled. Details are held in the care plan of the resident’s wishes at their death. These matters are dealt with sensitively by the management of the home and are usually brought up by the residents themselves. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 standard(s) 12 - 15 Residents are offered a comprehensive social programme of activities and trips out that meet their needs. Residents maintain contact with family and friends and are also enabled to have control and input to decisions that affect them. A balanced diet is provided with choice is always available for residents. EVIDENCE: The provision of a social programme has been seen as a priority by the new manager and residents confirmed that this has been a pleasant surprise for them. A range of activities is provided for residents and trips out are regularly undertaken, accompanied shopping excursions are offered on a weekly basis. Residents advised that they have never had so many options concerning what to do. One resident said, “ Things have improved a lot here”. A display on the wall shows what activities are available for a month, this enables residents to plan their time and make decisions about what events they would like to attend. One resident that suffers from cataracts on his eyes was pleased to say that he has been supplied with the talking book service for the first time which he said has made a great difference to him. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 13 The home has an unrestricted visiting policy and visitors and residents confirmed that this was the case. Visitors consulted advised that they were made welcome when they came and were given tea if they wanted it. When residents are admitted into the home time is taken to explain the service that is available. This approach is continued and carers were observed explaining to residents their options and asking for their views about what they would like to do, time and space was given to allow residents to make up their own mind. The way meals are served has changed completely since the new management have been in place. Food is put into a heated trolley and taken into the dining room, vegetables are then put on the individual tables and the plates are served at the tableside. Mealtimes have become a social event in themselves with constant interaction taking place between residents. A glass of wine is offered to residents to enjoy with their meal and choice is always available about what foods they would like. All residents consulted stated that the meals provided at the home were to their liking. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 standard(s) 16 - 18 Residents were confident about using the complaints procedure at the home and appropriate action is taken to ensure residents legal rights are protected. An appropriate policy and procedure is in place to ensure that residents are protected and carers are trained in its use. EVIDENCE: Five residents were consulted during the inspection, they had confidence that if they raised an issue with the manger it would be dealt with quickly to their satisfaction. They were aware of the complaints procedure and were also clear that they could refer issues to the Commission if the home was unable to resolve the matter raised. Residents are offered a postal vote if they would like to participate in an election or they are offered transport to the local polling station. Residents advised that they were quite happy with the arrangements in place. The home has available a comprehensive protection policy for residents to ensure that they are not subject to any type of abuse. Carers are trained in its use and when three carers were interviewed in private it was clear that these arrangements were well understood. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 standard(s) 19 26 The home has been refurbished and is well maintained. Residents’ rooms are personalised and comfortable. High standards of hygiene were apparent throughout. EVIDENCE: The lounge/dinning room has been redecorated, soft furnishings have been replaced and new comfortable furniture has been provided. Residents were keen to say how much they enjoyed this change. Carpets have been replaced with new and two bedrooms have been refurbished. The kitchen has also been refurbished and a new cooker has been provided. The home has a well stocked garden with a substantial concrete path providing a circular walk, this provides an outside facility that some residents said they enjoyed the most. All the bedrooms at the home have on suite facilities and an assisted bathroom and shower is available for residents. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 16 Residents have been assessed to ensure that they have all the aids they require to meet their needs and this process is regularly reviewed to ensure it is up to date. All residents’ bedrooms were seen, they were comfortable and well maintained, ample evidence was observed of personalisation and residents said they had been able to bring some of their possessions with them when they were admitted and that they liked their rooms and the on suite facilities. All rooms in the home were seen and high standards of hygiene were apparent throughout. The laundry area is currently being refurbished; a new washing machine has been purchased by the new proprietors to ensure that appropriate washing programs are available for soiled items. Due regard is paid to infection control to ensure the safety of residents. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 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 - 30 Residents are appropriately cared for by a committed staff team that is recruited appropriately. Staff understand their roles and are trained and supervised by management. EVIDENCE: The home has available clear job descriptions for all employees. Carers understood what their roles were and readily accepted training. A training and development programme is in place. The deployment and number of staff available throughout the day and night is sufficient to meet the needs of the residents. Residents confirmed that their call bells were answered promptly. The management have ensured that appropriate references and checks were undertaken on new carers to ensure the residents safety. Two residents expressed regret that there has been staff changes in the care team when the new management took over as they said these people were their friends. They understood that they were free to visit if they wished and residents did say that the home had been improved. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 18 Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 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) 31,33,35 and 38 The staff group has good quality leadership provided by the manager and the home provides a flexible service for the benefit of the residents. Appropriate systems are in place to manage residents pocket monies and due regard is paid by management to ensure the health and safety of the staff group and residents. EVIDENCE: The registered manger of the home has some thirty years experience as a nurse and has a current pin number. She also has twenty years experience in residential care and is just completing the registered managers award. Staff and residents expressed their confidence in her. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 20 Residents advised in conversation that they felt in charge of their own lives and were party to decisions that affected them. The manger currently looks after some residents’ pocket monies, this is held in a safe in individual containers. When withdrawals are made two staff signatures record the transaction and receipts are retained for any purchases made on behalf of residents. This system ensures that appropriate safeguards are in place for residents’ monies. The home does not get involved in any other financial affairs of residents. The manger gives a high priority to the welfare and health and safety of staff and residents. The regulations for the secure handling of hazardous cleaning materials are observed and appropriate reporting is undertaken of serious events in the home. Electrical equipment and the electrical installation of the home are appropriately tested and regular servicing of machines, lift etc is undertaken to ensure the safety of staff and residents. Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 4 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 Standard No 16 17 18 Score 3 3 3 3 x 3 x 3 x x 3 Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 22 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 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 Good Practice Recommendations Furzeham Lodge D54-D07 S63694 Furzeham Lodge V218627 100505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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