Inspection on 11/06/07 for The Foxwalls

This inspection was carried out on 11th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The Foxwalls 12/02/07

The Foxwalls 03/01/06

The Foxwalls 09/08/05

The Foxwalls 08/03/05

The Foxwalls 20/09/04

The Foxwalls 05/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Foxwalls Marston Road Stafford Staffordshire ST16 3BU Lead Inspector Mrs Wendy Grainger Unannounced Inspection 11th June 2007 09:00 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 The Foxwalls DS0000035821.V338182.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. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Foxwalls Address Marston Road Stafford Staffordshire ST16 3BU 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) 01785 255118 Staffordshire County Council, Social Care and Health Directorate Bridget Hill Care Home 48 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (32), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (12), Old age, not falling within any other category (7), Physical disability over 65 years of age (16) The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. (DE) - 3 Both sexes - Minimum age 50 years on admission Date of last inspection 12th February 2007 Brief Description of the Service: The Foxwalls is a purpose built Local Authority home that was registered for 39 older people. The home had being extensively altered and was now registered for 48 older people. The home is owned by Staffordshire County Council and operated by Staffordshire Social Services. The home is located in a residential area of Stafford and is close to amenities and served by public transport. The home is pleasantly situated with lawns, a quadrangle and external sitting area. Adequate car parking, external roadways and pathways are provided. The accommodation is provided on one floor and comprises single bedrooms and all necessary facilities. Services and facilities including laundry, catering and hotel services have been adequately maintained, with adequate staffing levels. Activities, hobbies and entertainment all take place and transport is provided when required. Families and friends are encouraged to take part in activities and trips out. Care is provided by teams of care assistants each having a care shift leader. They are responsible to a care team leader (deputy manager) and the home manager. Health service professionals such as district nurse, community psychiatric nurse, and physiotherapist are accessed when required and local GPs and a pharmacist service the home. From the information provided by the Head of Home on the day of the inspection the current fees for the home were £325. Additional costs would include hairdressing, private chiropody, personal toiletries and newspapers. The Foxwalls DS0000035821.V338182.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 carried out by Wendy Grainger Inspector on the 11 June 2007. The manager, staff and the people who use the service provided assistance throughout the time at the home. At the time of this inspection the home had a total of thirty six people who use the service. The Staffordshire County Council owns the Foxwalls, the future of the home is uncertain and may be part of the planned closures. During the time at the home the inspector evidenced care plans, records, documents and records maintained by the management. These documents were readily made available to the inspector. People who use the service and visitors were spoken with and their views of the home will be included in the report. What the service does well: The Foxwalls staff demonstrated their commitment to the welfare care and health of the people who use the service during the inspection. They were friendly, warm and knowledgeable about individuals needs. The respite person had expected a newspaper; one of the staff went to purchase one and arranged for further deliveries while he was at the home. The Head of Home and the staff continued to operate the home to the best interests of the people who use the service, ensuring they were protected and cared for at all times. There was a homely ambience in the establishment; staff relationships with management and the people who use the service were positive, open and encouraging despite the uncertainty of the future. The home continued to offer and provide a well balanced menu, the meals observed were well presented and of a portion to suit individuals needs. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 6 The Foxwalls housekeeping staff ensured that the high standards of hygiene throughout the home was maintained, this combined with quality fixtures, fittings and tasteful pictures contributed to a comfortable home. Since the notices of the pending closure of the home three staff members have left employment, it is the policy of the County Council not to recruit new staff. The Head of Home spoke very highly about the commitment and dedication of her staff to the home and people who use the service. What has improved since the last inspection? What they could do better: At the time of this inspection the home had addressed the concerns made in the previous inspection. There were possible plans to close the home, despite this the staff worked together as a team to provide good care, protecting the people who use the service at all times. Please contact the provider for advice of actions taken in response to this The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 8 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 The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 1,3,were reviewed This judgement has been made using available evidence including a visit to this service. All the relevant information to make an informed choice of home was contained in the documents displayed around the home. No person would be admitted to the home without a full assessment of their health and welfare needs. EVIDENCE: At the time of this inspection the home continued to honour the bookings for any respite care. There will be no new permanent admissions due the possible pending closure of the home. The Statement of Purpose and the Service Users Guide were displayed around the home and within the entrance. These documents would ensure that prospective people who use the service were aware of the service provided. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 10 The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 7.8.9.10 were reviewed This judgement has been made using available evidence including a visit to this service. The problems identified on the previous inspection had been addressed by the concerted efforts by the staff the content of documents was now commendable. The personal health and welfare needs were being met from observations and written evidence. EVIDENCE: Samples of three care plans were chosen one from each lounge, to examine the diverse needs for the people who use the service and care provided. Each of the plans evidenced contained details of a persons health and welfare needs. From the observations made on the day and from the written evidenced staff addressed the required needs of individuals. Evidenced provided ensured The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 12 that arrangements were in place for the continued health care from other agencies. The staff should be congratulated for the details in the plan of the person who was being assessed for dementia nursing care; they provided a picture of events leading up to and including the decision to move the resident. One resident confirmed that she had been to the home to visit prior to admission “it was something I took away with me after the visit that made me want to come back” Care plans were reviewed monthly any changes recognised recorded. Following the previous inspection the staff had ensured that the medication system was robust and no concerns were identified. Staff responsible for medication had received appropriate training. From the observations of the staff during the day evidenced that they were committed to the daily routines health and personal care of individuals. People who use the service were respected and their choice or routine encouraged. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards reviewed 12,14,15 This judgement has been made using available evidence including a visit to this service. Varied choices of activities were offered to all the people who use the service including external contacts with the community. The provision of meals could be flexible if necessary. Menus were based on the likes and dislikes, where, possible home cooking was the catering staff commitment to a balanced diet. EVIDENCE: Since the previous inspection the provision of activities had been reviewed, more emphasis had been given to the people who use the service with diverse needs. This was evidenced from the notices displayed and from the evidence during the day when individuals came independently or assisted by staff to view a clothes sale. A visitor told the inspector that her father “ was so settled at the home it was a pleasure to visit with him” The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 14 Food was prepared fresh on a daily, the catering staff were aware of the individual choice of the people who use the service from the surveys completed by the staff on a daily basis. Staff were observed to assist a small number of residents in a sensitive manner, no person was hurried. Menus were based on a five-week rotation, evidenced in the residents meetings was that the food suited the people. No special diets at the time of the inspection were being prepared. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is, good, Standards 16,18 were reviewed This judgement has been made using available evidence including a visit to this service. The complaints procedure was displayed throughout the home. People who use the service were protected by the robust recruitment and training for the staff. EVIDENCE: Staff training included NVQ in Care Levels II& III, the County’s Vulnerable Adults policy and procedure was available to all the staff; robust recruitment practices. The subject of abuse and protection the manager told the inspector is part of staff supervision. The Commission or the management had received no complaints against the service provided. The complaints process for any person to access was displayed in the lounges throughout the home and within the entrance foyer. One visitor told the inspector “we have never had any area of concern” but would be able to speak to the staff. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent Standards 19,20,23,24,25,26 were reviewed. This judgement has been made using available evidence including a visit to this service. This judgement was based on a tour of the home; where exceptionally high standards were evidenced; well maintained and decorated. EVIDENCE: Observations made when touring the home demonstrated the commitment of the housekeeping staff who daily maintained exceptionally high standards throughout the home. Comments from visitors included “ the home is maintained to a high standard and excellent to observe” Individual bedrooms were sampled each one had been personalised to suit the persons taste. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 17 There was an area at the rear and side of the home where people who use the service can access to sit and relax in the fresh air. Equipment for the benefit of individuals that require assistance were located in the bathrooms/toilets and within the home as a portable facility, staff training had been provided for the use of any equipment. Lounges were light, bright and of a good size; each lounge was well furnished providing a comfortable home; during the afternoon a clothes show was located in the large front lounge. Residents were encouraged to view the clothes. One person told the inspector that she was thrilled with her room “it was just what I want plenty of space” There had been no changes to the structural environment since the major refurbishment. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 27.28.29.30 were reviewed This judgement has been made using available evidence including a visit to this service. Staffing levels were adequate to meet the needs of the people who use the service. Robust recruitment procedures and staff training were in place to protect the welfare of the people who use the service. EVIDENCE: Following the potential closure of the home three of the staff had resigned their post. The management have a staff team that are committed to the home and the people who use the service and cover shifts when necessary. The Head of Home spoken highly of all the staff employed. At the time of this inspection the home had four vacancies, these will not be advertised due to the uncertain future of the home. The records identified that eleven staff had attained NVQ level II with one person completing Level III. This will bring the home to 50 of staff trained with NVQ in Care. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 19 The training profile for the staff is to be changed; this will be cascaded down to the staff, when completing their training records. At any one time there were sufficient staff in numbers to meet the present individuals needs. The care staff were supported daily by the catering, housekeeping and maintenance staff. Training records evidenced that in house training was current and on going. Specialist training included stoma care and catheter care. Comments from visitors included “an excellent service” “ staff always approachable, friendly and always consult us about mum” “ we could not ask for more” The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 31,33,35,36,38 were reviewed This judgement has been made using available evidence including a visit to this service. An experienced and competent manager managed the home. People who use the service and staff recognised and responded to her relaxed style of management. The staff protected the health and safety of the people who use the service. EVIDENCE: The Head of Home had addressed the concerns raised in the previous inspection report, she had put in systems to safe guard the people who use the service; she ensured that training was current and ongoing. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 21 During the inspection it was obvious that people who use the service recognised and responded to the Head of Home. The staff and management promoted the best interests for the people who use the service at all times. Comments from the relatives’ surveys are contained in the body of the report. Other comments included “ we are made very welcome” “it’s a nice home the “girls” are excellent as is the home” Staff confirmed verbally that they received supervision on a regular basis. Part of the sessions included training and development. A sample of the finances maintained by the administrator were sampled and found accurate. Records for the testing of the Hoists (various types including potable) Parker bath Water Fire tests Fire drills Fire risk assessment Were all evidenced and found satisfactory. The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 3 The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations The Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Local Office 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Foxwalls DS0000035821.V338182.R01.S.doc Version 5.2 Page 25 - 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. 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