Inspection on 03/01/06 for The Foxwalls

This inspection was carried out on 3rd January 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

The Foxwalls 11/06/07

The Foxwalls 12/02/07

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 3 January 2006 9:00 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.V275560.R01.S.doc Version 5.1 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.V275560.R01.S.doc Version 5.1 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 277088 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.V275560.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. (DE) - 3 Both sexes - Minimum age 50 years on admission Date of last inspection 9th August 2005 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. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed on the 3rd January 2006, assistance in the completion of the report was provided by the Head of Home, staff, one visitor and residents where able. Documents, records and reports were readily made available to the inspector. Information and comments made by visitors and residents will be included in the report. Residents spoken with told the inspector that they had enjoyed Christmas and that the staff had been “helpful and pleasant”, one visitor told the inspector that “the care they provided for her mother was exceptional and that the staff and home was good” The staff continued with their role as carers during the inspection, they assisted where necessary, explaining, and having time to pass the time of day with other residents. The accommodation throughout was maintained to an exceptional standard of hygiene. The home was divided into group living areas, with additional space off the main corridor well furnished and maintained. Staffs that were trained and competent in their jobs to protect and support the residents in their daily life style provided resident care. Trained cooks undertook catering; the meal of the day was well presented and of an ample portion. Housekeeping staff should be congratulated for the high standards. Medication was stored appropriately within a locked room and trolleys; there was an occasional gap in the records for medication administered. What the service does well: The staff and environment of The Foxwalls provided a comfortable home for older people. Staff on duty were heard and seen to be respectful to the residents assisting where necessary. Residents were provided with a home cooked menu, which were well balanced and of a nutritious content. The staff training and competency was demonstrated during the inspection. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 6 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 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 The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 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): 1,2,3 Standard six is not relevant to this home. The information in the documents available to any person enquiring about the home and a placement was current and informative. EVIDENCE: The inspector was provided with the updated Service Users Guide to place on file, the Statement of Purpose remained unchanged. Evidenced in the records were the continued assessments prior to admission conducted by the Head of Home and Senior Management. The respite accommodation was well used by people in the Community. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 9 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): 7,8,9,10. The records identified the appropriate information to provide continued care. Arrangements were in place to meet the health and personal needs of residents. The staff who were competent and committed to their role as carers respected residents. EVIDENCE: A sample of the support and required care was evidenced via the care plans and from visual observation. The management was in the process of updating the photographs identifying residents. From one of the plans, the dependency score did not reflect the needs of the resident; the Head of Home agreed and will review the plan. One resident was giving the staff and concerns the Head of Home had taken the appropriate steps and involved other professionals in the residents care. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 10 The storage of the medication was acceptable; the room used was tidy and well ventilated. An occasional “gap” in one set of records was evidenced the Head of Home will address this. During the inspection the inspector heard and observed the interaction between residents and each other. Staff passed the time of day with residents while attending to their needs. When assistance was provided an explanation was given first. For one of the lounges this practice would be more pertinent. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 11 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): 12,13,15 The routines of the residents was relaxed this was promoted by the staff team. Residents social life was encouraged, interests and hobbies were recorded A nutritious and well balanced menu was available on a daily basis. Cultural and special needs could be catered for. Residents maintained links with their families. EVIDENCE: During the inspection the activity person was conducting a quiz in one lounge, for other lounges she recognised the frailty of the residents and involved them in sessions to met their abilities. With the exception of one resident who is permanently on bed rest, all the residents were taken out prior to Christmas for a lunch this was done in small groups by the staff. A party in the home was also provided with families and friends invited. Fund raising continued by the staff having coffee mornings, tombola and raffles. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 12 Visitors were seen during the inspection, relatives told the inspector that they felt welcome each time they visited. They were very satisfied with the care their mother received from all the staff. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 13 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, 18 Located in the home and relevant documents available was the homes complaint procedure. Staff ongoing training and awareness protected the residents against the types of potential abuse. EVIDENCE: The complaint process was available to any person, resident and staff, concerns would be investigated within the timescale. Staffordshire County Council had an in depth induction programme coupled with the NVQ levels in Care ensured that all the staff were fully aware of the need to protect residents from any potential abuse. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 14 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, 20, 22, 23, 24, 25 The location and structure of the home was suitable for the purpose it was registered for. Residents were provided with a home maintained to exceptionally high standards of hygiene. Residents were accommodated in comfortable surroundings. EVIDENCE: The home is a single storey home built a number of years ago to offer accommodation to older people. Over the years it had been changed, the most recently being a new wing/unit, each bedroom in this area had been provided with an en-suite facility. From the sample of bedrooms seen residents were encouraged to bring in their personal possessions. The home was exceptional in its hygiene and comfort; the staff should be congratulated; decoration was tasteful and well maintained. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 15 Residents lived in a safe environment, the audits of the home ensured that any defect identified were rectified. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 16 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, 30 The continued and planned staff training coupled with robust recruitment and essential checks; ensured that personal and health needs were respected and addressed. EVIDENCE: Staff training continued, there had been an increase in NVQ in Care qualifications. The Head of Home was hoping to provide alternative training via the nursing service, pertinent to the care of the residents. Some staff were registered to commence Dementia training in January and February 2006. At the time of the inspection a new employee (apprentice) had commenced duty. During the morning she was provided with the fire video to watch and was observed to complete the questionnaire. The rotas had been reviewed since the previous inspection; this had evolved in an extra person being on duty from 12mid-day until 6.30pm at a peak time when residents required assistance at lunch. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 17 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, 32,36, 38 Staff worked as a team to provide a home that was operated for the benefit of the residents. Records and systems were available and well managed by the staff. EVIDENCE: Obligatory training for the staff and management was current. The Head of Home was part of the team that worked to the benefit of all the residents. During a tour of the home the inspector identified a relaxed comfortable atmosphere. Staff felt supported by the management, supervision continued. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 18 Records in respect of the required fire protection and practices were current, the system had been serviced 22 12 2005. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 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 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X 3 4 4 3 4 STAFFING Standard No Score 27 3 28 4 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 X X X 3 3 3 The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? N/A 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 3 Refer to Standard OP7 OP9 OP15 Good Practice Recommendations To continue with the implementation of photographs on the residential care plan. To monitor the signing of records when medication was administered. To ensure that the daily record of food served was completed. The Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Foxwalls DS0000035821.V275560.R01.S.doc Version 5.1 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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