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Inspection on 23/05/05 for The Fountains Care Centre

Also see our care home review for The Fountains Care Centre for more information

This inspection was carried out on 23rd 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is well furnished, decorated, clean and tidy. Homely atmosphere, twenty bedrooms are en suite and adaptations and equipment meets the needs of the residents of the home. One service user commented that: "I give it 10 out of 10 every time" another commented "Best in the area" Service users benefit from a variety of activities and visitors are made welcome in the home. Members of staff have a pride in the care they provide and work closely as a team. Care records and documents examined were comprehensive and well kept.

What has improved since the last inspection?

There were no requirements or recommendations left on the last inspection. One service user commented that "the food has improved in the last eighteen months."

CARE HOMES FOR OLDER PEOPLE The Fountains Care Centre Church Lane Tetney Lincs DN36 5JX Lead Inspector Ann Day Unannounced 23 May 2005 14:00 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. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Fountains Care Centre Address Church Lane Tetney Lincs DN36 5JX 01472 210456 01472 816456 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) Halcyon Care Limited Mrs Rosemary Jean Herbert Care home with nursing 44 Category(ies) of OP Old age (42) registration, with number PD Physical Disability (2) of places The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1) The home is registered for one person in the Category PD as named in the Notice of Proposal to Register dated 20 October 2004 2) The home is registered for one person in the Category PD as named in the Notice of Proposal to Register dated 16 March 2005 Date of last inspection 02 March 2005 Brief Description of the Service: The Fountains Care Home is registered with the Commission for Social Care Inspection to provide nursing care and personal care to people over the age of 65 years and an individual with physical disabilities. The property is located in the village of Tetney in North East Lincolnshire, lying between Louth and Grimsby. It is a large detached building, standing in its own grounds and gardens. Car parking is to the side of the house. Accommodation is provided in mainly single rooms on the ground and first floor. Although there are two double rooms, these are kept for married couples or service users who specifically wish to share. There is a passenger lift to access the first floor. The homes brochure states that ‘we are dedicated to providing you with the best care along with courteous, understanding and friendly attention to enable you to enjoy a high quality of life’. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by two inspectors and took place on one day in May 2005. The inspection included interviews with the current manager; service users; two visitors; members of staff; a tour of the premises; examination of care records and incorporated an investigation into a complaint regarding the care of service users at the home that had been received by the Commission. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,5 Service users and their relatives are enabled to make an informed choice about where they live. EVIDENCE: The home has a detailed Service User Guide and both service users and relatives confirmed that they had received information about the home both from brochures and word of mouth; which had aided their choice. Three relatives confirmed that they had had opportunity to visit the home prior to the service users admission. The manager confirmed that service users and their relatives are encouraged to visit prior to taking up residence at the home. The home does not provide intermediate care. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 The home ensures that all service users are treated with dignity and respect. Service users health care needs are fully met. EVIDENCE: Care records examined were comprehensive and included individual care plans. Staff said that service users are informed that they can access their care records at any time and that relatives can access the records with the service users permission. Service users are involved in the updating and review of their care records. Service users comments, about the care they receive is very positive; and members of staff were aware of each individual’s care needs. Members of staff were seen knocking on doors before entering and delivering personal care with courtesy and sensitivity. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Service users benefit from a variety of activities and are enabled to exercise choice and control over their lives and receive a wholesome appealing balanced diet. EVIDENCE: The home has an activities coordinator, who provides a variety of activities for residents; singalongs, carpet bowls, outings to the Wintergardens. Clergy visit the home and offer services to those who wish to attend. The activities programme is depicted in pictorial form on the notice board, to ensure that all residents are kept informed. Service users said how they get up and go to bed when they want to, “there’s no feeling you are a criminal, if you are late for breakfast” Members of staff confirmed that service users are always asked individually to choose the gender of the member of staff, providing their personal care. Members of staff and relatives confirmed that they are able to visit when they like to and eat with the residents if they wish. The manager did point out, that visitors, particularly professional visitors are encouraged to avoid meal times to minimise interruptions to the social part of the meal time. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 10 Service users commented: “Food is good, can choose regular things and if you have a special wish, you can have it” “Tea is salad and cold meat, light sweet, as much tea as you like” A complainant had expressed concerns, about the food and assistance available for those unable to feed themselves. The home’s menus identified choices and special or soft diets were available for those unable to eat a regular diet. Service users are encouraged to eat independently and socialise at meal times. Members of staff assisted those service users, who were unable to eat independently. Members of staff eat their meal with the residents “family style” The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 11 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) 16,17,18 Service users are confident that their concerns will be listened to, taken seriously and acted upon. Service users are protected from abuse and exploitation by staff who have received appropriate training. EVIDENCE: The home has a complaints policy and procedure that was available for examination. Members of staff were clear as to whom they should speak if a resident or a relative raised concern. Service users and relatives spoken to on the day of the inspection had no complaints or concerns regarding the care they received, members of staff or the running of the home. One service user said that they “would go to the matron if upset, or mention to the nurse, matron meets everyone at breakfast; everyone keeps coming back, as good a recommendation as you need” The commission had received one complaint since the last inspection; an investigation took place as part of the inspection. The manager and staff members assisted the investigation. On conclusion of the investigation the concerns were not upheld. Service users are encouraged and assisted to exercise their right to vote during local and national elections. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 12 The home has an adult protection policy and a copy of the current local authority guidance. Members of staff have attended adult protection training. Members of staff said that they would have no hesitation in reporting any allegation of abuse of residents or any observations of poor practice. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 13 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, 22,24,26 Service users live in a safe, well- maintained, clean and comfortable environment. EVIDENCE: The inspection included a tour of the premises. Adaptations and aids were in use within the home; service documentation was up to date. Individual rooms were comfortably furnished, well-decorated, with individual service users’ possessions around them. The home was found to be in good repair, well-decorated, clean, tidy and odour free. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 14 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 Service users needs are met by sufficient staff, who are trained and competent to do their jobs. EVIDENCE: The home is currently fully staffed, the manager said that there is very little turn over of staff within the home; this was confirmed by members of staff and by examination of the staff rosters. The home does not use agency staff. The dependency levels, is worked out regularly, by the matron to ensure that staffing levels are adequate to meet the changing needs of the residents. Members of staff have access to regular training, and those members of care staff who were spoken to, had gained NVQ qualifications. A service user said: “I am happy with the members of staff; four or five skilled nurses and carers always ready to help” The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 15 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) 31,36 The home is well run by a manager who is well liked and respected by service users and members of her staff team EVIDENCE: Members of staff were very positive about the manager, some of whom, moved with her to The Fountains from her previous post. “Matron is a lovely boss, absolutely brilliant; pushes us to do training. Best boss I have ever had, fair, firm when needed; good teamwork”. Another commented: “like a second family, good team, nice atmosphere, support each other” “matron will always make herself available to talk to you, will listen and put things into action if needed”. Members of staff said that they receive supervision every two months. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 16 A service user said “ it’s a lovely home, it’s fantastic, I am happy with the care”. The manager was seen to speak to service users, relatives and members of staff around the home; relationships were good, humour was positive. The manager is due to retire in the next few weeks; several of the service users and members of staff discussed the manager’s imminent retirement with significant regret whilst wishing her well. Interviews have been arranged for the manager’s post. The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 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 3 x x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 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 x x x 3 x x The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 18 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 The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road off Whisby Road Lincoln, LN6 3QN 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 The Fountains Care Centre C53-C04 S62766 TheFountains V227720 230505 Stage 4.doc Version 1.20 Page 20 - 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!