Care Home: Feniscliffe Bank Home for the Elderly

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What the care home does well The expert by experience concluded her part of the inspection by recording: I felt that the residents seemed fairly happy in this home. I observed staff being attentive to residents and speaking in a low tone. Several residents did say `the staff are lovely and the food is good.` I observed one resident transferred using a hoist in the sitting room and she was handled with dignity and care. Staff adjusted clothing to ensure that she did not expose personal areas. I did get the feeling that staff really tried hard to make life comfortable Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 6for the residents in the home but were hindered by the lack of financial support needed for updating the facilities. Staff did say that they themselves were going to decorate the entrance hall as they felt that it was in urgent need. In general the expert by experience thought staff were respectful and residents appreciated this. Residents case tracked said, "They give my care in a lovely way and they are very private. I really appreciate it" and "When they help me they treat me with respect". Residents were satisfied personal care was given in a dignified manner. Resident`s case tracked said, "All the family come to visit. They are all right with the family" and "I get visitors and they treat them well. They give them a cup of tea". Visitors were welcomed to the home for the benefit of residents. There were good policies for the protection of vulnerable adults and staff had been trained in safeguarding issues. Resident`s case tracked said they felt safe at the care home. Residents were protected from abuse. One resident told the expert by experience the food is OK. Resident`s case tracked said, "The food is very good" and "There is a choice of food every day and they serve fish. The choice of food is good and the food is good". In general the food was to the liking of residents and nutritious. Residents case tracked said, "I would talk to my daughters if I had any problems" and "I can talk to any member of staff if I have a complaint but I have no complaints". Residents felt able to voice their concerns. Residents case tracked said, "I have a nice room but I have put in for a bigger room. I have brought my own television and I have brought some pictures and ornaments" and "I have a nice room. I have brought pictures of family to make it mine". In general residents were satisfied with their personal space. Resident`s case tracked said, "They give me my medicines. They are on time" and "The medicines are given to me on time. Normally at mealtimes". Policies, procedures and staff training provided a safe medication administration system. The expert by experience said residents told her staff were lovely, very helpful and respectful. Resident`s case tracked said, "The girls are very good" and "These girls are my Angels of mercy. I love it here. The staff are very good". The professional attitude of staff ensured residents felt comfortable and enjoyed the companionship they provided. Other comments made to the expert by experience included, "I like it here but I get bored". The lady admitted she did not join in the activities. "I like it here", "I hate it here and want to be in my lovely home but they have given it away" and "I like being in this home and the staff are lovely. They care forme". Both residents case tracked were happy at the home. Most residents spoken to were positive and satisfied with life at the care home. What has improved since the last inspection? The personal care regimes of residents were recorded to provide staff with better statistics to manage the problem. The last wishes of a resident had been recorded to ensure their needs could be met at this difficult time. Quality assurance systems included taking the views of those connected with the home and responding to the changing needs of residents and their families. Residents or their families had been consulted when plans of care had been developed to ensure their wishes were taken into account. Plans of care had been updated on a regular basis to ensure residents health and care needs were met. CARE HOMES FOR OLDER PEOPLE Feniscliffe Bank Home for the Elderly Hillcrest Road Blackburn Lancashire BB2 5LF Lead Inspector Mr Graham Oldham Unannounced Inspection 17th September 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Feniscliffe Bank Home for the Elderly Address Hillcrest Road Blackburn Lancashire BB2 5LF 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) 01254 201676 www.blackburn.gov.uk Blackburn with Darwen Social Services Mrs Barbara Magee Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 29 service users requiring personal care who fall into the category of OP The home shall employ at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4th October 2006 Date of last inspection Brief Description of the Service: Feniscliffe Bank is a purpose built two-storey local authority home. The home provides accommodation for 29 residents who require personal care. There are separate lounges, a large dining room and a conservatory. All bedrooms are single. The home is set within its own grounds, which has an accessible patio and looks over parkland. There is a car park to the front of the property. The home is situated on a local bus route with local amenities close by. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Feniscliffe Bank range from £341 - £550.50 per week. Extras residents or their families have to pay for include hairdressing, newspapers or periodicals and outings. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection, which included a visit to the service, took place on the 17th September 2008. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Three residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. (The inspector took detailed notes during the inspection, which have been retained as evidence and stored electronically). Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. An Expert by Experience accompanied the inspector. This lady attended a managers meeting, full staff meeting and a residents meeting. The expert by experience conducted a tour of the building and spoke to residents and staff. The service returned an AQAA. This is a document, which was completed by the manager and tells us many details of how the care home is performing and how the feel they can do better. What the service does well: The expert by experience concluded her part of the inspection by recording: I felt that the residents seemed fairly happy in this home. I observed staff being attentive to residents and speaking in a low tone. Several residents did say ‘the staff are lovely and the food is good.’ I observed one resident transferred using a hoist in the sitting room and she was handled with dignity and care. Staff adjusted clothing to ensure that she did not expose personal areas. I did get the feeling that staff really tried hard to make life comfortable Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 6 for the residents in the home but were hindered by the lack of financial support needed for updating the facilities. Staff did say that they themselves were going to decorate the entrance hall as they felt that it was in urgent need. In general the expert by experience thought staff were respectful and residents appreciated this. Residents case tracked said, “They give my care in a lovely way and they are very private. I really appreciate it” and “When they help me they treat me with respect”. Residents were satisfied personal care was given in a dignified manner. Resident’s case tracked said, “All the family come to visit. They are all right with the family” and “I get visitors and they treat them well. They give them a cup of tea”. Visitors were welcomed to the home for the benefit of residents. There were good policies for the protection of vulnerable adults and staff had been trained in safeguarding issues. Resident’s case tracked said they felt safe at the care home. Residents were protected from abuse. One resident told the expert by experience the food is OK. Resident’s case tracked said, “The food is very good” and “There is a choice of food every day and they serve fish. The choice of food is good and the food is good”. In general the food was to the liking of residents and nutritious. Residents case tracked said, “I would talk to my daughters if I had any problems” and “I can talk to any member of staff if I have a complaint but I have no complaints”. Residents felt able to voice their concerns. Residents case tracked said, “I have a nice room but I have put in for a bigger room. I have brought my own television and I have brought some pictures and ornaments” and “I have a nice room. I have brought pictures of family to make it mine”. In general residents were satisfied with their personal space. Resident’s case tracked said, “They give me my medicines. They are on time” and “The medicines are given to me on time. Normally at mealtimes”. Policies, procedures and staff training provided a safe medication administration system. The expert by experience said residents told her staff were lovely, very helpful and respectful. Resident’s case tracked said, “The girls are very good” and “These girls are my Angels of mercy. I love it here. The staff are very good”. The professional attitude of staff ensured residents felt comfortable and enjoyed the companionship they provided. Other comments made to the expert by experience included, “I like it here but I get bored”. The lady admitted she did not join in the activities. “I like it here”, “I hate it here and want to be in my lovely home but they have given it away” and “I like being in this home and the staff are lovely. They care for Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 7 me”. Both residents case tracked were happy at the home. Most residents spoken to were positive and satisfied with life at the care home. What has improved since the last inspection? What they could do better: The expert by experience concluded her part of the inspection by recording: I did have the opportunity to speak with the staff and inspector at the end of my visit. I said that visitors must have doubts when looking round the home for a possible place for a relative as it looks shabby now. They agreed and said that they would feel the same if they looked at this home for a relative of theirs. In my view it is sad that people in their twilight years have to put up with these unaddressed areas because of politics. Staff are trying hard here, I feel sure, but poorly supported in basic areas of need. Older people do not have time to wait for new purchasers of establishments to enjoy comfortable surroundings - their time for care is now. The home needed decorating and upgrading in some areas to provide better facilities for residents. The registered person must ensure risk assessments are conducted using a recognised tool to help protect the health and welfare of residents. The registered person should ensure the maintenance man is free to carry out maintenance and decoration to provide better accommodation for residents. The registered person must ensure the upkeep of the environment is continued during the possible sale of the home. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 8 The expert by experience said, “During the staff meeting staff asked if the managers knew anything about the sale of the home. The manager did not know anything”. The current situation was mentioned several times by staff, managers and residents. Some residents thought we were there to close the home. The registered person should ensure, as much as is possible, that staff are informed of any changes and try to stabilise morale. The registered person should ensure the manager is registered with the Commission for Social Care Inspection (CSCI) to meet current legislation. 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 summary of this inspection report can be made available in other formats on request. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 9 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 Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 10 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): OP3 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were assessed to ensure they were correctly placed. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care for two residents contained a social services assessment. Staff had visited the prospective residents and taken some notes to supplement the assessment. It was decided to devise a form to supplement any assessment made by social services to ensure all the needs of a resident were recorded. The third resident was admitted as an emergency and all necessary paperwork had been completed. Staff were able to develop plans of care from assessment documentation to help meet the needs of residents. Intermediate care was not provided. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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): OP7, OP8, OP9 and OP10 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. There was a good plan of care, which had been developed with residents and reviewed on a regular basis. Staff arranged good access to specialists to meet their health care needs. The safe administration of medication protected the health and welfare of residents. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Three plans of care were examined during the case tracking process. Residents and staff were spoken to during the inspection about the care written in the plans. The testimony of staff and residents matched the plans of care. The plans of care had been developed with a resident or family member to ensure their wishes were taken into account. The plans had been reviewed although the different ways parts of the plan were reviewed could be seen as confusing. Resident’s last wishes had been recorded. In general the plans of care were satisfactory and enabled staff to meet the needs of each resident. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 12 Residents case tracked said they were satisfied with medical arrangements. The plans of care for three residents case tracked contained information residents attended specialists such as their GP, District Nurses, Chirpodists, Opticians and hospital consultants. Plans did not contain a recognised system for assessing risk for falls, nutrition or pressure area care. Appropriate equipment was provided when necessary. The health care needs of resident’s were met by attending specialists. There were policies and procedures for staff to follow for the administration of medication. There was a controlled drug cupboard and register. Drugs were securely stored. A photographic record of each resident was obtained to minimise errors. The medication administration chart was examined and contained no errors. Records were maintained of medication entering and leaving the home. There was a British National Formulary and a copy of the Royal Pharmaceutical Societies guidelines. Staff had undertaken medication training. The temperature of stored medication was recorded. Both residents case tracked said medication was given on time. Policies, procedures and staff training in medication issues helped to minimise errors. Staff were observed to treat residents with privacy and dignity when delivering personal care. Two residents case tracked were satisfied with the care they received. One resident was not able to communicate very well. The Expert by Experience said residents were observed to be treated in a nice manner by staff and that many staff residents commented upon how well staff treated them. Residents were comfortable with the way staff delivered personal care. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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): OP12, OP13, OP14 and OP15 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Leisure activities were provided suitable to resident’s tastes. Visiting was open and unrestrictive to encourage families to enter the home. Residents were able to exercise choice and retained some independent living. The food served at the home met residents needs. EVIDENCE: Visitors were observed entering the home. Staff were observed to be friendly and welcome visitors. Resident’s case tracked said visiting was unrestricted. Residents were encouraged to socialise. There was a weekly activities list, which included bingo (a member of public comes in to call the numbers) and a Church service monthly. Pamper sessions; recall sessions, dominoes, movies and outings to Greenways on a social event. The manager said residents also go out to walks to the shops, play connect four and a guess that tune bingo type game. She had plans for residents to participate in some minimal gardening activities. There were planned activities for Bonfire night and a Christmas fair. Care plans showed if residents wished or needed to be taken to events. The wide range of activities helped stop residents from getting bored. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 14 The choices residents could make for themselves was recorded in the plans of care. This included choices like what to wear, when to get up and go to bed or choice to join in activities. Residents were offered choice to help them retain some independence. Visiting was described by resident’s case tracked as unrestricted and friendly for their benefit. The manager said, “The menu is four weekly and visitors can take a meal if they wish. There is a choice of meals and mealtimes. Residents get fed individually and there are two tables where staff supervise residents rather than feed them to help retain independence”. The cook talks to residents and she was observed in the dining room asking residents if they were satisfied with the food. The cook recorded the meals taken and carried out environmental health checks such as food and equipment temperatures and a cleaning rota. Hot meals can be taken at least three times a day and some residents were having a sherry with lunch. The dining room was set up nicely and condiments were available on the table. The Expert by Experience sat with residents at lunchtime and comments made to her were generally favourable. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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): OP16 and OP18 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were aware of their right to complain and confident to approach management with any concerns. Residents were protected from possible abuse. EVIDENCE: There have not been any complaints made to the CSCI since the last key inspection. The manager said they had not received any complaints but had received several compliments. The complaints procedure was issued with the terms and conditions document which had been given to the three residents case tracked. The complaints procedure is also located in the Service User Guide, which is retained by each resident and there was a copy for all in the lobby to ensure everyone is able to voice their concerns. There had not been any safeguarding issues since the last key inspection. The home had a copy of Blackburn with Darwen Protection Of Vulnerable Adults policies to follow a local initiative and also have corporate policies and procedures. There was a whistle blowing policy and a copy of the ‘No Secrets’ document for staff to follow. Training is available for aggression and many staff had received Caldecott training. Staff had received safeguarding training. Staff were aware of safeguarding issues to help protect residents from harm. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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): OP19 – OP26 The quality outcome for this standard group was adequate. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The general décor of the home was not to a standard expected in a home for elderly people. EVIDENCE: During the inspection the Expert by Experience and the inspector conducted a tour of the building. Both noted the general lack of upgrading. This was discovered to be a problem on two counts. The handyman was cleaning because of the length of time it had taken to employ a cleaner and the home is one of several that Blackburn with Darwen social services are hoping to sell. The lack of financial commitment to the home had started to show. The Expert by Experience made several comments. “I went along with the Inspector to look at the home. We both felt that generally it looked tired. The rooms varied in size - some looking more homely than others but many needing painting and decorating, whilst new carpets would have improved Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 17 several corridors and bedrooms. Some rooms looked quite small. Bedding looked old and drab whilst cotton flat sheets were un-ironed and put on beds in a creased condition (the manager said the iron had been borrowed by another home and not returned). Bedding generally looked thin. The duvets I saw in the laundry did look to be in a good condition. There had been a recent wet room facility put in the home but bathrooms generally looked dated and institutionalized”. More positive comments made by the Expert by Experience included, “Feniscliffe Bank Care Home is situated in a pleasant area of Blackburn. The home had good sized grounds around it with good parking facilities at the front of the home. The home was purpose built of a style familiar of the time – two-storey with good width corridors making access good. The main lounges were roomy with good height seating, T.V. and homely looking with floral carpeting. The addition of a large conservatory a few years ago enabled people to sit in a bright environment without T.V. on. Environmental issues such as radiator covers, temperature control of water and window restraints protected residents from possible accidents. There were policies and procedures for the control of infection. The laundry was sited away from food preparation areas and contained suitable equipment to clean clothes and bed linen. The walls and floors of the laundry were clean. Hand washing facilities were available where clinical waste was produced. The Expert by Experience said, “there was a large drying cupboard available. This proved to be very useful for drying Kylie sheets and Duvets but clothing could also be hung inside the cupboard”. There were systems in place to protect residents from contracting Legionella. Infection control procedures protected residents and staff from possible harm. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.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): OP27, OP28, OP29 and OP30 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Resident’s needs were met by the numbers and skill mix of a well-trained staff group. The recruitment procedures safeguarded residents from possible abuse. Induction and mandatory training was provided to increase staff knowledge of resident’s needs. EVIDENCE: The recruitment of staff was robust although the time staff took to go through the system did create staff shortage on occasion. The manager said they had been waiting six months for a cleaner. Two staff files examined during the inspection showed staff attended training in all mandatory topics. Two staff members who were questioned during the inspection process confirmed this. The Expert by Experience said, “A new member of staff was to commence on the domestic side but it had taken around six months to replace the last domestic who left. Night staff are currently short which is causing problems covering the rotas. The manager of the home is not responsible for the hiring/ firing of staff but is responsible for covering rotas”. The staff rota demonstrated there were sufficient staff to meet the needs of residents. The care service provided a recognised induction format for new employees and all staff had completed NVQ training to provide experienced staff for residents. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP31, OP33, OP35 and OP38 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Quality assurance systems had been fully developed to take into account the views of residents, family members and stakeholders. The financial system protected residents from possible financial abuse. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The manager said, “I came from Kingsway, which shut. I was registered with the CSCI at Greenways. I have completed the courses such as medication, infection control and safeguarding”. The manager had the necessary experience and qualifications to perform the role. The registered manager updated her knowledge to help provide more skills to the role and provide better care for residents. The Expert by Experience said, “I was welcomed by a member of staff and met with the inspector to discuss the visit. It was decided Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 20 that I join the meeting of management for their monthly meeting, followed by the staff meeting held each month and after residents lunch attend the residents meeting at 1.00pm, which is also a monthly event. The managers meeting was useful to attend because the meeting was led by the manager of the home with three assistant managers attending. The manager explained that each had an area of expertise. One younger assistant had good computer skills, another good staff skills, one organizational skills whilst another was good with residents”. The registered manager said she had a good staff team to provide leadership to staff. The administrator said they do not hold any residents finances. They did have some petty cash for residents and the system was observed for one resident case tracked. Everything was accounted for and two staff sign and provide receipts to keep monies safe. The home had completed quality assurance questionnaires with residents. The results had been published as a summary and where the replies were not as positive the manager had devised a solution to improve things. There were recorded meetings held with staff and residents. There was a business plan. Quality assurance work ensured the views of all concerned were taken into account and acted upon if necessary. Gas and electrical appliances and installations had been maintained and this included the fire alarm and call bell system. The lift and hoists had been regularly serviced. There was a contract for the removal of clinical waste. There was a health and safety policy and procedures. A health and safety poster was observed in the building. The registered manager had a copy of the legislation as detailed within the standard. Staff had been trained in health and safety issues such as first aid, health and safety, infection control, food hygiene and moving and handling. The health and safety systems helped protect the health and welfare of residents and staff. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 2 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 X 3 X X 3 Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP8 Regulation 12(1)(a) Requirement The registered person must ensure risk assessments using recognised tools are undertaken for the nutritional, tissue viability and mobility problems of residents to help meet their health care needs. The registered person must ensure the premises are kept in a good state of repair. The registered person must ensure there is a suitably qualified and experienced manager who is registered with the CSCI. Timescale for action 31/10/08 2. 3. OP19 OP31 23(2)(b) 8(1) 31/12/08 31/12/08 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 OP19 Good Practice Recommendations The registered person should ensure the maintenance person is available to carry out repairs and upgrade the building. DS0000034786.V367618.R01.S.doc Version 5.2 Page 23 Feniscliffe Bank Home for the Elderly 2. OP32 The registered person should try to keep staff up to date with current events to help keep the staff team informed and stabilised as to their future. Feniscliffe Bank Home for the Elderly DS0000034786.V367618.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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. 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