Care Home: Fern Lea

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well Comprehensive information about people is gathered before they move into the home so they, their families and the staff at the home know their needs can be met there. The information gathered is used to develop care plans for that person so they receive all the care that they need and staff know what to do to meet those care needs. Staff communicate well with relatives and healthcare professionals to ensure the needs of the people who live in the home are identified and met. The care needs of the people who live at the home are monitored regularly to make sure the care they are getting is still effective. The complaints procedure for the home is readily available for the people who live there, their relatives and others, so they can be confident their concerns and complaints will be listened to. Staff receive good leadership and direction to help them make sure that the needs of the people who live at the home are met in the way they prefer. The home and the garden are well maintained so that people who live in safe, comfortable and clean surroundings.There is a range of company policies and procedures available so that staff have the guidance they need to make sure that the people who live at the home stay safe and well. What has improved since the last inspection? The manager has continued to develop his leadership skills to the benefit of the people that live there and the staff. Improvements to the garden to the rear of the home have provided a pleasant and safe area for the people who live in the home What the care home could do better: Staff need to receive up to date training on safeguarding adults procedures so they know what they have to do to make sure the people who live in the home are safe from possible harm. The person who undertakes the assessment of a person`s needs should sign the record so it is clear who did the assessment and when. CARE HOME ADULTS 18-65 Fern Lea Liverpool Road Moston Chester Cheshire CH2 4BA Lead Inspector Mr Val Flannery Unannounced Inspection 1 May 2008 10:10 Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 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 Fern Lea DS0000006683.V361784.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 Adults 18-65. 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. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fern Lea Address Liverpool Road Moston Chester Cheshire CH2 4BA 01244 382509 01244 382509 christian.ruppenthal@macintyrecharity.org www.macintyrecharity.org MacIntyre Care 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) Christian Ruppenthal Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 4 service users in the category LD (Learning disability) 15 June 2006 Date of last inspection Brief Description of the Service: Fern Lea is a care home for four adults with a learning disability. Although close to a busy main road the home is in a secluded semi-rural location on the outskirts of Chester. Transport is required to get to shops and other local amenities. All four bedrooms in the bungalow are single and contain hand-washing facilities. A bathroom with toilet and a shower room with toilet are provided. Communal space consists of one large lounge and a dining room that is next to the kitchen. The garden to the rear of the home is to be developed to provide a secure outside area for residents. There are plans to build a conservatory off the lounge. Lifting aids, including bath hoist, are provided for service users with mobility problems. Staff are on duty twenty-four hours a day to provide care to service users. The scale of charges for people living at the home is £34,111.42 per annum. Please contact the manager for further details on fess and charges. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 star. This means that the people who use the service experience good quality outcomes. This unannounced visit took place on 1 May 2008. The visit lasted four hours in total and was carried out by one inspector. The visit was just one part of the inspection. Before then the manager was asked to complete a questionnaire to provide up to date information about service offered by the agency. CSCI questionnaires were made available for people using the service, their relatives and staff to find out their views. These are included in the report. Other information received by CSCI since the service was last visited was also reviewed. During the visit various records and the premises were looked at. People who live in the home were spoken with and told us their views about the service offered by the home. Staff were also spoken with during the visit and they gave their views about the service. These are included throughout the report. What the service does well: Comprehensive information about people is gathered before they move into the home so they, their families and the staff at the home know their needs can be met there. The information gathered is used to develop care plans for that person so they receive all the care that they need and staff know what to do to meet those care needs. Staff communicate well with relatives and healthcare professionals to ensure the needs of the people who live in the home are identified and met. The care needs of the people who live at the home are monitored regularly to make sure the care they are getting is still effective. The complaints procedure for the home is readily available for the people who live there, their relatives and others, so they can be confident their concerns and complaints will be listened to. Staff receive good leadership and direction to help them make sure that the needs of the people who live at the home are met in the way they prefer. The home and the garden are well maintained so that people who live in safe, comfortable and clean surroundings. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 6 There is a range of company policies and procedures available so that staff have the guidance they need to make sure that the people who live at the home stay safe and 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 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. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Thorough assessments are carried before people move into the home, with input from the person and their relatives. This ensures people’s care needs are identified and that they can be met at the home. EVIDENCE: The senior member of staff spoken with during the inspection visit told us that the Statement of Purpose and Service Users Guide for the home have been updated to make sure they give accurate information about the services at the home. During the visit the care file for one person who lives at the home was checked in detail. It included a care needs assessment that had been carried out before the person moved in by the manager with a lot of input from the person’s family. The information seen was detailed and included a history of the service received by the person before he moved into the home; for example, where he had lived and a record of reviews carried out by Social Services. The staff on duty were aware of the person’s care needs and how he wished to be cared for. They said they had seen the information on the person before he had moved into the home. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 9 The records also showed that the person had visited the home before moving in, had stayed overnight and had visited for meals. The person’s father had provided support by also staying overnight with them. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service Person centred plans used in the home reflect the actual care that needs to be provided for people so their needs are being be met. Staff are aware of the abilities of the people that live in the home so they can support them to be as independent as possible. EVIDENCE: The person centred plans for a person who has recently moved into the home were seen during the visit. It included details of the person’s preferred daily routine, for example, where they spent leisure time, what they liked doing and what their favourite/least favourite foods are. The senior member of staff on duty told us the person’s family members were very involved in drawing up the plans, as the person had limited communication abilities. Because the person is still getting to know the home, the plans are regularly up dated to show any changes to their needs. Copies of reviews, carried out by Social Services before the person moved into the home, were seen. These showed that the person’s family attended the reviews. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 11 Risk assessments for personal and environmental areas were included in the person’s file. Staff were seen giving support to the person and encouraging them to be as independent as possible without taking any unnecessary risks. Staff said they were still getting to know the person and helping to them settle in the home. As the person becomes more familiar with the surroundings, risks to their safety would decrease. The risk assessments confirmed that the person needed constant staff supervision when outside the home environment. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The routines within the home allow for the people who live there to have individual choices so they are able to exercise control over their lives and still maintain their safety and well-being. EVIDENCE: During the inspection a member of staff from the NHS was visiting the home. As part of her role she provides information on what activities are available to people with special needs in the local community. Staff had contacted her to discuss how the person who had recently come to live in the home could access activities. One person was seen leaving to attend a community based day care facility. Staff were seen asking another person if they would like to visit the local shops. Records were seen that showed the people who live at the home are supported by staff to use community-based activities such discos and Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 13 restaurants. Risk assessments are carried out to ensure the safety and well being of people when taking part in activities outside the home. Relatives of people who live in the home confirmed that they are kept up to date with information about their family member. Relatives and friends can visit the home as they wish. Staff were seen talking with and spending time with the people who live in the home. They were spoken to in a respectful manner and, even though the people that live there have restricted communication, staff did not make decisions for the people without first asking them. Records showed that the people who live in the home are offered a choice of foods. For example, one of the people was helped to look in the freezer so that they could choose what they wanted for lunch. One of the people was seen having breakfast. He was not rushed by staff and was given time to finish his meal. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service Care plans identify the actual care that needs to be provided for people who live in the home so their needs are met. Staff maintain the dignity of the people who live in the home so they are treated with respect. EVIDENCE: The care plans for one person who lives at the home that were checked during the visit showed that their healthcare needs had been identified, recorded and are being met. Records seen also showed that medical advice and attention is sought as required. Information on individual care files showed that hospital appointments are arranged for people when they need them. The record of medicines administered by staff was seen. There was a staff signature missing from a record; this had been identified by senior staff and was been addressed with the member of staff concerned. Individual people’s medication is kept in their bedroom in a locked cupboard. Plans of care seen during the inspection visit showed that people’s personal preferences about getting up, going to bed, bathing and eating are recorded Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 15 under likes and dislikes in Person Centred Plans. The staff spoken with were aware of individual needs and how these were to be met. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service The records show that complaints are appropriately dealt with so people’s concerns are being listened to. Staff understand about safeguarding adults so people who live in the home are protected from harm and abuse. EVIDENCE: A copy of the complaints procedure was on display in the entrance hall, as was the complaints record book. The procedure had been updated to show the change of address for the Commission for Social Care Inspection. One complaint had been received since the inspection visit and this was dealt with satisfactorily by the home. A copy of MacIntyre Care’s adult protection procedure is kept in the home. The senior member of staff on duty told us that no adult protection referrals have been made since the last inspection visit. The records showed that seven of eleven staff had received training on safeguarding adults. A member of staff who had recently started working at the home confirmed that she will be receiving training, including on safeguarding adults. The staff spoken with during the inspection were aware of the action to take if they received any complaints or were concerned about the well-being of the people who live in the home. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,29,30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service The home is warm and clean so people live in comfortable and safe surroundings EVIDENCE: During the inspection visit all areas of the home were seen. This included bedrooms, communal lounge, bathrooms and toilets, kitchen/dining, laundry and the gardens to the rear and front of the home. Inside the home was clean, warm, well maintained and free from bad odours. The bedrooms were individually decorated and contained personal possessions of the people who live there. Improvements have been made to the garden at the rear of the home so it now provides a more pleasant and accessible area for the people that live in the home. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 18 A number of aids and adaptations have been provided for people with mobility problems including a hoist, bath and toilet aids and wheelchair. The laundry facilities are situated so that soiled clothing and bedding do not have to be carried through the kitchen area. Although the home is close to a busy main road it is set back so that traffic noise is minimal. The appearance of the single story building is in keeping with the local community. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 and 36 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The good communication between staff, night staff and day staff, and the management team, means people that live in the home have their needs met in the way they prefer. EVIDENCE: During the inspection visit, the staff spoken with said their roles as carers for the people that live in the home have been made much clearer since the current manager was appointed. They said they receive support and supervision from the manager and senior support worker. This helps them to provide the care needed to maintain the safety and well-being of people who live in the home. The rota showed there is normally two staff on duty during the day and evening and one waking night staff. Currently one person who lives in the home needs additional support so an extra member of staff was on duty to support that person. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 20 There was a record of training undertaken or planned for staff that included: moving/handling, fire safety, food hygiene, infection control and first aid. Information sent to us by the manager before the inspection showed that five of the staff have achieved NVQ Level 2 or above in care and two in the process of completing NVQ Level 2. The staff spoken with said they receive monthly supervision from the manager. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Staff receive the guidance they need to make sure they can support the people living in the home live their lives as they wish. The routines of the home appear to be set up to suit the people that live there, so the home is being run in their best interests. EVIDENCE: The manager for the service has at least two years supervisory experience and is in the process of completing his management qualifications. Records were seen that showed the manager has attended/will be attending training to update his skills. Staff spoken with were very positive in their comments about the manager and how things have improved since his appointment. CSCI survey questionnaires Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 22 received from relatives and staff were also positive in their comments about the overall running of the home. The information sent to us by the manager before the inspection showed that electrical equipment is tested and serviced regularly. Assessments were seen that showed possible environmental risks have been identified and action taken to minimise any risk to the safety and well being of the people who live in the home, their relatives, staff and other visitors to the home. Records showed that staff have received/will be receiving training up dates on fire safety, first aid, food hygiene and infection control. Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard YA2 Good Practice Recommendations The assessment carried out before a person moves into the home should be signed by the member of staff who carried out the assessment Staff who haven’t already done so should receive updated training on Safeguarding Adults 2 YA23 Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ 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 Fern Lea DS0000006683.V361784.R01.S.doc Version 5.2 Page 26 - 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!