Inspection on 06/07/06 for Furzeham Lodge Care Home

This inspection was carried out on 6th July 2006.

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 06/12/05

Furzeham Lodge Care Home 10/05/05

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

CARE HOMES FOR OLDER PEOPLE Furzeham Lodge Care Home Furzeham Lodge Residential Home Higher Furzeham Road Brixham Devon TQ5 8BL Lead Inspector James Rose Unannounced Inspection 6th July 2006 10:00 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 Furzeham Lodge Care Home DS0000063694.V296751.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. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Furzeham Lodge Care Home Address Furzeham Lodge Residential Home Higher Furzeham Road Brixham Devon TQ5 8BL 01458 253874 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) Mr David Malcolm Baker Mrs Sarah Jane Mary Dennis, Mr Howard Norman Dennis, Mrs Angela Martha Christina Baker Mrs Sarah Jane Mary Dennis Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21), of places Physical disability (21) Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 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, physical disability and dementia 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. Furzeham Lodge 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 with easy access provided for residents; to the side of the building is a hard standing car park, which is large enough for several vehicles. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over 7.75 hours in July 2006. A pre inspection document had been filled out by the home and evidence was also gathered from questionnaires that had been returned from residents. A complete tour of the home was undertaken and samples of the care records were examined. Four residents were asked individually about life at the home and two visitors to the home were also consulted. A healthcare professional was asked for their views of the service provided and two of the care staff were interviewed individually in private. Many observations were also made of the way care was delivered. The inspection was undertaken with the assistance of the proprietors and the proposed registered manager. What the service does well: What has improved since the last inspection? Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 6 The home’s redecoration programme continues and parts of the garden have been remodelled for the summer season. There is a complete care staff team at the home with an active training programme running to ensure a good quality service is provided. A new large slim line television has been provided for residents use in the lounge area, which has been much appreciated. The residents in the home have settled after the change of management and a relaxed atmosphere and confidence in the care team is apparent. Two requirements were raised at the time of the last inspection, one concerned the laundry floor and the other one involved the administration of medication in the home. Both these matters have received attention and the requirements raised have been satisfied. 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 Care Home DS0000063694.V296751.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 Furzeham Lodge Care Home DS0000063694.V296751.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): 3 and 6 The performance in this group is good. Detailed and comprehensive assessments are undertaken of all prospective residents prior to them moving into the home to ensure all their needs can be met EVIDENCE: A comprehensive assessment was available for each resident receiving a service at Furzeham Lodge and four were examined in detail. These demonstrated that health, personal and social needs were assessed, this comprehensive approach ensured that the resident received the service they required and there were no needs that remained unmet. Healthcare professionals and family were consulted as part of the assessment process when required. Standard 6 refers to a service not provided at Furzeham Lodge. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 9 Furzeham Lodge Care Home DS0000063694.V296751.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 and 10 The performance in this group is good. Detailed appropriate care plans are available for each service user, health, personal and social needs are clearly shown. Residents are able to self medicate if they wish. The administration records of medication were complete. Residents were clearly treated with respect and their privacy was maintained. EVIDENCE: A comprehensive care plan was available for each service user in the home, four of these were examined in detail; they all clearly stated the health, personal and social needs of a resident and how these were met. The care plans were reviewed on a monthly basis or more often if the resident was going through a period of constant change. Four residents were consulted individually in private and they were all very complimentary about the way they were cared for at Furzeham Lodge and praised the care team and advised that all their needs were met at the home. One resident remarked, “You Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 11 couldn’t do better than this” another advised, “This is smashing, I’m well looked after, staff can’t do enough for you”. Residents that wished were able to self medicate at the home subject to a risk assessment process to ensure that they had the capacity although currently no resident is self-medicating. The recordings undertaken of the administration of medications were examined; the booking in of medication when received, the issue and the returned unused medication was complete and up to date which ensures that residents are appropriately protected. All medication in the home was stored in appropriately secure circumstances. The residents consulted during the inspection process were all very complimentary about the home and the service they received. They praised the care team and the proposed registered manager. Good-natured banter was overheard time and again and it was clear from observations made that care was taken by staff not to rush residents and their privacy was maintained when they were assisted into the toilet etc. All residents consulted were very clear that they felt respected at all times and felt their privacy was maintained in the home. Furzeham Lodge Care Home DS0000063694.V296751.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 and 15 The performance in this group is good. The residents are offered a comprehensive social programme that is designed around their needs and preferences; they are able to maintain contact with family and friends who are always made welcome at the home. Residents are also enabled to have control and input into decisions that affect them. A balanced diet is provided and choice is always available. EVIDENCE: Four residents were consulted as part of the inspection process, they advised that the lifestyle and activities in the home were to their liking and no suggestions could be made by them when asked about how things could be improved. A range of activities is provided for residents and trips out are regularly undertaken, accompanied shopping excursions are offered on a weekly basis. It is acknowledged that the home has just lost the activities coordinator and is going through the process of advertising for a replacement. In the meantime the care team are covering to ensure the service is maintained for the residents. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 13 There is an unrestricted visiting policy and procedure at the home and visitors are made welcome. Residents also confirmed that they could see visitors at anytime and come and go as they pleased. Two visitors were consulted individually in private during the inspection and they both confirmed that they were always welcomed when they arrived and also advised that they were impressed by the quality of the service available at Furzeham Lodge. Residents are consulted three times a day about what foods they would like to consume. A wholesome, well balanced diet is provided and residents advised that they enjoyed the meals they were served. In addition there is an option of a hot breakfast in the morning and wine is provided for residents at the weekends if they wish. Home made cakes and tarts etc are made on the premises and are much appreciated by the residents. One resident remarked “We do eat well you know”. Furzeham Lodge Care Home DS0000063694.V296751.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 and 18 The performance in this group is good. Residents were confident about using the complaints procedure and the issues raised were taken seriously and prompt action is taken by the home to resolve them. An appropriate policy and procedure is in place to ensure that residents are protected and carers are trained in its use. EVIDENCE: The home’s complaints policy and procedure was readily available in the home and residents were confident that if they raised an issue it would be taken seriously by the management and quickly resolved for them to their satisfaction. No complaints were received during the inspection and none were outstanding at the time of the inspection. The home has available an appropriate comprehensive adult protection policy and procedure, all carers are trained in its use to ensure that residents are safe at all times. Furzeham Lodge Care Home DS0000063694.V296751.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 and 26 The performance in this group is good. Furzeham Lodge provides a safe, comfortable and well-maintained environment for residents. The home is clean and pleasant with high standards of hygiene evident throughout. EVIDENCE: A complete tour of the home was undertaken at the time of the inspection, it was found to be well maintained and a comfortable environment was provided. The four residents that were consulted were very complimentary about the home and advised that they liked the lounge and dining area and particularly liked their own rooms. A new television had been provided since the last inspection in the lounge, which was much appreciated by the residents. The home was clean throughout, well decorated with high standards of hygiene apparent to ensure it was safe for residents. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 16 When the tour of the home was undertaken several pads were inappropriately stored in residents on suite facilities. A recommendation has been raised in this report for a review to be undertaken and more hygienic storage provided. The garden at the home was well tended and some of the areas had been remodelled to improve the facility. Some of the residents interviewed said how much they enjoyed this area. Furzeham Lodge Care Home DS0000063694.V296751.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 and 30 The performance in this group is good. The management of the home always ensures that there are adequate numbers of experienced carers on duty to meet the needs of the residents. The recruitment practice at the home ensures residents are safe and an active training programme makes sure carers fulfil their role appropriately. EVIDENCE: The number of care hours available at the home remains at the same level as at the last inspection, this provides sufficient staff to ensure that residents’ needs are met at all times. Four residents were consulted during the inspection who confirmed that if they used their call system it was answered promptly and they did not have to wait when they needed help. Three personnel files were examined at the inspection these were found to have the documentation necessary and demonstrated that the appropriate checks had been undertaken to ensure residents were safe. The home has an active training programme running, this encourages carers to take specialist courses and there is a high proportion of staff that have finished NVQ training or are currently completing the courses. This comprehensive investment undertaken by the home ensures a quality service is maintained to residents. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 18 Furzeham Lodge Care Home DS0000063694.V296751.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, 33, 35 and 38 The performance in this group is good. Fuzeham Lodge is well managed by a competent person and provides a quality service to the residents. Service users financial interests are safeguard by the procedures in place. The health, safety and the welfare of staff and residents is promoted and protected by the management of the home. EVIDENCE: Furzeham Lodge is well run by a qualified, experienced and competent registered manager who runs the home in the best interests of the residents. Four residents were consulted in private and they expressed complete confidence in the way the home was managed, they felt they were consulted Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 20 about issues that affected them, this was undertaken individually and at regular residents meeting that are held in the home. The home assists some of the residents with the administration of their pocket money. Detailed records are maintained and three of these were examined in detail and all monies checked, these were found to be up to date and correct. Two staff signatures are used for each single transaction and all purchases made on behalf of a resident have a receipt available. This clear, well-recorded process ensures that residents are appropriately safeguarded. The management of the home gives a priority to the health, safety and welfare of residents and staff. All chemicals that could be a hazard are held in appropriate secure storage and reports are made of any dangerous occurrences as required. The management undertakes regular risk assessments of the building to ensure the environment is safe and all equipment is regularly serviced. The recording of the fire precautions undertaken were examined and found to be clear and up to date which ensures that residents are safe. Furzeham Lodge Care Home DS0000063694.V296751.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Furzeham Lodge Care Home DS0000063694.V296751.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 2 Refer to Standard OP38 OP38 Good Practice Recommendations The registered manger should ensure that a review is undertaken concerning the appropriate storage of incontinence pads to ensure appropriate infection control. The registered manger should produce a protocol to ensure there is no contamination between soiled and clean laundry to ensure appropriate infection control. Furzeham Lodge Care Home DS0000063694.V296751.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office 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. Extracts may not be used or reproduced without the express permission of CSCI Furzeham Lodge Care Home DS0000063694.V296751.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. 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