Inspection on 21/06/05 for Low Furlong

This inspection was carried out on 21st June 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

Low Furlong 20/03/07

Low Furlong 23/02/06

Low Furlong 16/02/05

Low Furlong 17/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Low Furlong Darlingscote Road Shipston on Stour Warwickshire CV36 4DY Lead Inspector Patricia Flanaghan Unannounced 21 June 2005 11:30 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. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Low Furlong Address Darlingscote Road Shipston on Stour Warwickshire CV36 4DY 01608 662005 01608 664090 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) Warwickshire County Council, Social Services Department Ruth Carter CRH Care Home 35 Category(ies) of OP - Old age - 65 Years and over (35) registration, with number of places Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 February 2005 Brief Description of the Service: Low Furlong is a home for thirty-five older people, owned and managed by Warwickshire County Council. It is about half a mile from Shipston town centre, where all community and health facilities offered in the town are sited. There is no bus service up to the home from the town centre. There is parking to the front and side of the building. Low Furlong was refurbished in 1996. The home provides long stay care, short stay and day care. All thirty-five bedrooms have en-suite facilities. One unit on the ground floor now provides care for eleven older people with either a dementia or other cognitive illness. Within this area there are two lounges, one of which has a dining area and a conservatory. The other unit on the ground floor provides two long stay bedrooms, while the rest are used for short stays or respite care. All the first floor accommodation is for long stay residents. There are two units, each with a lounge/diner. The home has a shaft lift. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following is the findings of an unannounced inspection, carried out on a weekday between the hours of 11.30 p.m. and 4.00 p.m. During the inspection the assessment information and care plans were seen for several residents. Discussion took place with the manager and members of the care staff. Conversations were held with residents, a relative and one visitor. A tour was made of the building and grounds. What the service does well: What has improved since the last inspection? The care planning documentation has been updated and these continue to be regularly reviewed and evaluated ensuring that the care needs of the residents are kept up to date. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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 Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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) 3 and 5. Standard 6 is not applicable for this home. All service users have an assessment of their needs prior to their admission to Low Furlong assuring them that their needs can be met by the home. Residents are provided with the opportunity to visit the home to assess the quality, facilities and suitability of the home before moving in. Low Furlong does not provide an intermediate care service. EVIDENCE: The Manager assesses all prospective residents prior to their admission to the home. A record of the pre admission assessments of two service users included all required elements as identified within the National Minimum Standards for Older People. Records showed that assessments had provided the necessary information for the home to be able to provide the care needed. Staff spoken to were aware of individual residents needs as well as their likes and dislikes. The documentation seen, and discussions with residents, evidenced that residents had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 9 Several residents spoken with confirmed that their relatives had visited the home to look round before they moved into the home. One resident spoken with advised that they had visited the home with a relative. The home does not provide an intermediate care service. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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, 8 and 10 All residents have individual plans of care, which sets out their health, personal and social care needs in detail and enable staff to ensure that these needs are met. Residents were treated with respect and their privacy and dignity were promoted enhancing their wellbeing and self esteem. EVIDENCE: A number of residents’ plans of care were seen at the inspection. These were clear and comprehensive and included risk assessments. Care plans and risk assessments are regularly reviewed and updated. Residents received dental, chiropody care and saw the optician. All residents are registered with a local General Practitioners Surgery (GP). Residents spoken with felt that their health care needs were being met, advising that they saw the dentist, the chiropodist, the optician and GP or District Nurse when necessary. The risk of pressure sores is assessed and the necessary equipment is provided. Nutritional issues were identified and if necessary a nutritional plan is put in place. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 11 Holistic assessments had been undertaken for each resident living at the home. The home promoted the privacy, dignity and independence of the residents. Staff were observed responding to residents in a sensitive manner and were able to describe how they undertook tasks in a manner that promoted residents’ privacy and supported them to make choices over their lives. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. All residents spoken with told the inspector that they were treated with respect, and that the staff were very kind and helpful. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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, 13, 14 and 15 Residents were satisfied with their lifestyle in the home and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Meals are appealing and balanced and enjoyed by the service users. EVIDENCE: Visitors are welcome at the home and information is available in the home’s brochure of visiting arrangements. Arrangements can be made for friend and relatives to have a meal in the home. An Anglican minister and a Methodist minister visit the home for individual monthly services. The programme for activities includes monthly outings. The home has access to a mini-bus that has a tail lift and can accommodate 3 wheelchair users and a number of other adults. The residents recently enjoyed a trip to a lavender farm. On the day of the inspection an outside retailer was demonstrating clothing to residents that they could purchase if they wished. Other activities include Music and Movement, board games, quizzes, bingo and video evenings with fish suppers. All residents spoken with felt there were sufficient activities offered by the home. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 13 Residents said that they could choose how they spend their day and take part in the social activities if they wish to. One resident said that she liked to get up early in the mornings and staff helped her get ready. Choices are available at mealtimes. Meals are served in the dining area within each separate unit or in resident’s own rooms if preferred. Each unit has a kitchenette with a fridge, freezer, microwave and dishwasher. Meals are sent up in a heated trolley from the kitchen. Each unit has their own supply of cutlery and crockery. Residents said the food was very good and there was plenty to eat. A meal was shared with residents and this was tasty and nutritious. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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) These standards were not assessed at this inspection. EVIDENCE: Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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, 20 and 24 The home provides a safe and pleasant environment, which is generally well maintained, for residents to live comfortably with suitable facilities to meet their needs. Communal lounges and individual rooms have a pleasant aspect overlooking attractive gardens to the rear and side of the building. EVIDENCE: There are well-maintained enclosed gardens for service users to enjoy. A number of residents had assisted in planting tubs and baskets with further work being planned. A tour was undertaken of the home. All interior areas were found to be clean and generally well maintained. Some bedrooms require re-decoration with torn or faded wallpaper evident. A discussion was held with the manager who advised that she has undertaken an audit of rooms and submitted this to the County Council for inclusion in the home’s annual refurbishment budget. All, except six of the bedrooms at Low Furlong meet the minimum space requirements of at least 10 sq. meters. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 16 However, all bedrooms have an en suite toilet and wash hand basin. Many of the residents have taken the opportunity to personalise their individual rooms and all residents spoken with were pleased with their accommodation at the home. On the day of the inspection the premises were clean, hygienic and free from offensive odours. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 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 The home employs sufficient staff to meet the needs of its residents. EVIDENCE: On the day of the inspection visit there were five staff on duty in the morning with six staff on duty during the afternoon from 1.15pm. Night cover is provided by 2 care staff. The registered manager is supernumerary. There are sufficient ancillary staff employed for cooking and cleaning duties. Practices observed during the day confirmed that staff attempt to ensure service users needs are met. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 18 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 and 32 The home has an experienced Manager and is effectively and well managed. EVIDENCE: The Registered Manager has considerable experience in managing homes for older people. There are clear lines of accountability within the home. The manager has regular supervision meetings with her line manager and is in the process of completing the Registered Managers Award. Observations made and discussions with residents indicated that the manager is very approachable and operates an open door policy. The residents and visitors spoken with advised that they are happy to approach the manager with any problems they might have. The County Council are in the process of addressing the need for the registered provider or delegated person to visit the home monthly and write a report upon the conduct of the care home. Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 19 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 x x x 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 x x x x x x Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 20 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. 2. Standard 19 33 Regulation 23 26 Requirement The registered provider must ensure that the home is kept in good decorative repair. The registered provider or delegated person must visit the home monthly and write a report upon the conduct of the care home. A copy of this report must be left with the manager and a copy forwarded to the Commission for Social Care Inspection. Timescale for action 30 September 2005 30 September 2005 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 Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Low Furlong E53 S36324 Low Furlong V235746 210605 Stage 4.doc Version 1.40 Page 22 - 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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